Practice Management
The patient is a 22-year-old male who presents for a pre-employment physical. During the exam, he mentions foot pain of several years’ duration, the origin of which he has no explanation. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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The patient is a 28-year-old female who presents with pain in her left foot after a fall of roughly 10 feet while rock-climbing. She reports that she “landed hard” with the left foot taking the full force of the impact. On exam, she had left midfoot dorsal and plantar tenderness and bruising across top of foot. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is …
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A 38-year-old man presents to an urgent care center after falling from a ladder the same morning. He has pain in his right foot at the midaspect that is worse with movement through the range of motion. There is minimal associated numbness. There is no ankle pain, knee pain, fever, or vomiting. View the image taken (Figure 1) and consider what your diagnosis would be.
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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.
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The patient is a 3-year-old female who presented after a fall while running, complaining of pain over the foot. There was minimal local tenderness over the foot and minimal limp, but no other remarkable findings. View the image taken and consider what your diagnosis would be.
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