Differential Diagnosis for 68 year old male with history of A. fib on eliquis presenting with right hip discomfort
- Single most likely diagnosis
- Hematoma: Given the patient's history of anticoagulation with eliquis and the recent fall, a hematoma is the most likely diagnosis. The expanding bruising to the right hip supports this diagnosis.
- Other Likely diagnoses
- Soft tissue injury: The patient's fall and subsequent hip discomfort could also be due to a soft tissue injury, such as a strain or sprain.
- Contusion: A contusion is also possible, given the patient's history of trauma and the presence of bruising.
- Osteoarthritis flare: The patient's hip discomfort could be due to an osteoarthritis flare, especially if the patient has a history of osteoarthritis.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Hip fracture: Although the patient's mobility issues have improved, a hip fracture is a possibility that should not be missed, as it can be devastating if left untreated.
- Internal bleeding: Given the patient's anticoagulation, internal bleeding is a possibility that should be considered, especially if the patient shows signs of hemodynamic instability.
- Septic arthritis: Although less likely, septic arthritis is a serious condition that should be considered, especially if the patient has a fever or other signs of infection.
- Rare diagnoses
- Avascular necrosis: Although rare, avascular necrosis is a possibility, especially if the patient has a history of steroid use or other risk factors.
- Bone tumor: A bone tumor is a rare possibility, but should be considered if the patient has a history of cancer or if the hip discomfort is persistent and unexplained.
- Hemarthrosis: Hemarthrosis, or bleeding into the joint, is a rare possibility, but should be considered given the patient's anticoagulation and history of trauma.