He had no history of fever, rash, chest discomfort, or pains in other joints. Alert, cooperative, in no distress while lying down. Obese and large for age. Neck normal range of motion. Heart regular without murmurs.
Abdomen round contour, soft, non-tender, bowel sounds active.
Moderate tenderness in the upper anterior thigh. Severely tender in the hip. Pubic symphysis non tender. Mid thigh and knee non-tender. No joint swelling noted.