... Ask the Following Question:
Are there signs of a neurologic disease? Many foot deformities are associated with neurologic disease. For example, a pes cavus may be associated with a peroneal muscular atrophy, poliomyelitis, and Friedreich's ataxia. Muscular dystrophy produces ... DIAGNOSTIC WORKUP
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Are there diminished or absent peripheral pulses? The finding of poor peripheral pulses would suggest that the lesion is secondary to ischemia from arteriosclerosis, Buerger's disease, diabetic arteriolar sclerosis, ... DIAGNOSTIC WORKUP
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Is there fever or localized erythema? Localized erythema would suggest phlebitis, gout, osteomyelitis, cellulitis, ingrown toenail, and paronychia. The presence of fever would make one suspect osteomyelitis and cellulitis.
Is ... DIAGNOSTIC WORKUP
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Hand and foot rashes do not all look alike: Look for the subtle clues discussed below and obtain a detailed exposure and health history to narrow the differential. Be sure to evaluate the full extent of the skin rash before finalizing your differential diagnosis. Dyshidrotic and irritant... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hand and foot rashes are generally nonspecific, but their presence or absence might help in establishing the diagnosis in a wide variety of conditions. The palms and soles are covered with squamous epiderma that is thicker than in other parts... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Most deformities of the extremities are due to neurologic or joint diseases, but because there are some exceptions to this rule the clinician needs a method for easy recall of all the causes when faced with the complaint. The mnemonic VINDICATE provides the key.
V&
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... Many patients presenting with pain in the foot or toes have joint disease (see pages 341 and 343 for a discussion of these differentials). Other anatomic components of the foot and toes may cause pain as well, so a consideration of the differential diagnosis of foot and toe pain must
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... Clubfoot, or talipes, is the most common congenital disorder of the lower extremities. It’s marked primarily by a deformed talus and shortened Achilles tendon, which give the foot a characteristic clublike appearance. In talipes... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Footdrop—plantar flexion of the foot with the toes bent toward the instep—results from weakness or paralysis of the dorsiflexor muscles of the foot and ankle. A characteristic and important sign of certain peripheral nerve or motor neuron disorders, footdrop may... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Differential Overview
Ankle Pain
❑ Ankle sprain
❑ Fibular fracture
❑ Achilles tendinitis
❑... Diagnostic Approach ... Clinical Findings ... Pictures
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... The most common congenital disorder of the lower extremities, clubfoot, or talipes, is marked primarily by a deformed talus and shortened Achilles tendon, which give the foot a characteristic clublike appearance. In talipes equinovarus, the foot points downward (equinus) and... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Footdrop — plantar flexion of the foot with the toes bent toward the instep — results from weakness or paralysis of the dorsiflexor muscles of the foot and ankle. A characteristic and important sign of certain peripheral nerve or motor neuron disorders,... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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Most deformities of the extremities are due to neurologic or joint
diseases, but because there are some exceptions to this rule the clinician
needs a method for easy recall of all the causes when faced with the
complaint. The mnemonic VINDICATE... Pictures
... READ EXCERPTS »
...
Many patients presenting with pain in the foot or toes have joint
disease (see pages 284 and 286 for a discussion of these differentials). Other anatomic components
of the foot and toes may cause pain as well, so a consideration of the
differential diagnosis of... Pictures
... READ EXCERPTS »