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The patient is a 23-year-old male who presents with a complaint of pain in the heel area after slipping down four steps. He is limping but able to bear weight. On exam, you note local tenderness and swelling over the area of the Achilles tendon. Other findings are unremarkable.

View the x-ray taken and consider what your diagnosis and next steps would be.

23-year-old male complains of heel pain since slipping down steps

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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