32 Year Old Woman With Excrutiating Left Lower Extremity Pain.

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32 Year Old Woman With Excrutiating Left Lower Extremity Pain. - Page #1

Author: Gracia Pierre-Pierre, MD Co Author #1: Chibuikem Akamnonu, MD Co Author #2: Justin A. Classie, MD Patient Presentation: Left leg pain for past 9 days. History: 32 year old female with no significant past medical history presents with left lower extremity pain from an injury sustained 9 days earlier. The patient reports that she while she was running, she felt a pop in her left knee causing her leg to give out laterally and her to fall down. Since that time, the patient has had excruciating pain in her left knee, swelling from her thigh to her calf, difficulty to both fully extend and flex the joint and also symptoms of footdrop. Physical Exam: Left Knee Exam Mildly swollen Tender to palpation over both medial and lateral joint lines Decreased ROM both upon flexion and extension Extreme laxity to varus stress No laxity to valgus stress Positive Lachman Positive posterior drawer test Positive dial test at 30 and 90 degrees Unable to dorsiflex and evert the foot or extend the great toe. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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