53 year old Caucasian female
with bone metastases
Step 2: Perform an Examination
Objective :Recognize someone with a fractured hip, and the need for a systemic examination in this scenario
Look:The right leg is shortened and externally rotated.
Feel: Palpation over the groin is very tender.
Move: Any attempt at moving the limb produces marked pain.
Special tests: Neurovascular examination is normal.Close
Look: Normal appearance, no skin puckering or nipple discharge.
Feel: Careful examination reveals a firm, craggy 2 cm lump in the left breast.
Lymphatics: You do not palpate any nodes in the axilla.Close
Look: Thyroid not enlarged, no apparent mass noted.
Feel: No goiter, but one enlarged supraclavicular lymph node.Close