Patient presents with a chief complaint of limping, also described as a gait disturbance.  Onset of limping was (duration and onset characteristics: e.g., gradual onset over two weeks, sudden onset after a fall).  The limp is (location: right leg, left leg, intermittent, constant) and characterized by (description of limp: antalgic gait, Trendelenburg gait, foot drop, circumduction).  Pain associated with the limp is (location, quality, severity using a validated pain scale like 0-10 numerical rating scale, radiation, aggravating and alleviating factors).  Patient denies (or reports) any recent trauma, fever, chills, night sweats, unexplained weight loss, numbness, tingling, or weakness.  Physical examination reveals (ROM range of motion, tenderness to palpation, edema, erythema, deformity, muscle strength assessment, neurological exam findings related to lower extremities, gait assessment findings).  Differential diagnosis includes but is not limited to:  muscle strain, ligament sprain, osteoarthritis, hip dysplasia, slipped capital femoral epiphysis, Legg-Calve-Perthes disease, fracture, infection, and neurological conditions.  Ordered (imaging studies like X-ray, MRI, CT scan; lab tests like CBC, ESR, CRP) to further evaluate the etiology of the limp.  Plan includes (treatment options: pain management with NSAIDs or other analgesics, physical therapy referral, orthotics, activity modification, weight-bearing status, follow-up instructions, specialist referral if necessary). Patient education provided regarding (specific instructions related to diagnosis and plan).  Return to clinic scheduled in (duration).