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HEEL PAIN

HEEL PAIN: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the Following Questions:

  1. Are there abnormalities on inspection of the heel? Inspection of the heel may disclose an ulcer, foreign body, cellulitis, plantar wart, and other disorders.
  2. Is the patient a child? Children often have Sever's disease (osteochondritis of the heel).
  3. Is there tenderness or deformity of the Achilles tendon? Tenderness or deformity of the Achilles tendon should suggest Achilles tendinitis, rupture, or bursitis.
  4. Are there abnormalities on x-ray examination? An x-ray may disclose a calcaneal fracture, osteomyelitis, a tumor, or calcaneal spur. If the x-ray is negative, plantar fasciitis is the most likely diagnosis, but one should also consider gout.

DIAGNOSTIC WORKUP

In addition to a plain x-ray of the foot, a CBC, sedimentation rate, chemistry panel, and arthritis panel should be done. A bone scan may disclose an occult fracture. Response to a trigger point injection should be evaluated. If the diagnosis is still in doubt, referral to an orthopedic surgeon or podiatrist should be made before ordering expensive diagnostic tests such as a CT scan or MRI.

 

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

More About Pain Disorder

More Medical Textbooks Online about Pain Disorder

Review other book chapters online related to Pain Disorder:

Medical Books Excerpts
  • BACK PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • BREAST PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • CHEST PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • EYE PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • FACE PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • FLANK PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • GIRDLE PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • HEEL PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • HIP PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • JAW PAIN
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • Back Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Chest Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Hip Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Knee Pain
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • ARM PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • HIP PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • Arm pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Back pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Chest pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Eye pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Flank pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Jaw pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Leg pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Neck pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Rectal pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Throat pain
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Back Pain
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • Chest Pain
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • Arm pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Back pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Chest pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Facial pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Flank pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Jaw pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Leg Pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Neck pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Rectal pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Throat pain
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Chest Pain, Atypical
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Low Back Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Abdominal Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Calf Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Chronic Pelvic Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Hip Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Knee Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Neck Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Pleuritic Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Scrotal Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Shoulder Pain
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Eye Pain
  • "Field Guide to Bedside Diagnosis" (2007)
  • Hip Pain
  • "Field Guide to Bedside Diagnosis" (2007)
  • Abdominal pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Back pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Chest pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Eye pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Flank pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Jaw pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Neck pain
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Arm pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Back pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Breast pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Chest pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Eye pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Facial pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Flank pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Jaw pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Leg pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Neck pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Rectal pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Throat pain
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Abdominal Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Back Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Chest Pain
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Arm pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Back pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Chest pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Flank pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Jaw pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Leg pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • Neck pain
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • ARM PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • EYE PAIN
  • "Differential Diagnosis in Primary Care" (2007)
  • HIP PAIN
  • "Differential Diagnosis in Primary Care" (2007)
 

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: HIP PAIN (Algorithmic Diagnosis of Symptoms and Signs)

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