Chronic Bilateral Exertional Lower Leg Pain And Fatigue In A 16-year-old Soccer Player

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Chronic Bilateral Exertional Lower Leg Pain And Fatigue In A 16-year-old Soccer Player - Page #1

Author: Adam Lyons, MD Co Author #1: Adam Lyons Co Author #2: Rahul Kapur Co Author #3: Brian Sennett Patient Presentation: Chronic bilateral exertional lower leg pain History: A 16-year-old elite soccer player was referred by her pediatrician to the orthopedic office for consultation of chronic bilateral exertional lower leg pain. The pain was non-bony, diffuse, described as tightness around the calves. Her pain was worse with exertion and completely resolved with rest. Her review of systems was positive for excessive fatigue with exercise and feeling abnormal cold. Physical Exam: Inspection: no obvious deformity, atrophy, swelling, or fascial herniation noted in bilateral legs Palpation: no bony or muscle tenderness to palpation in the bilateral legs Range of Motion: full range of motion of her knees and ankles Motor: 5/5 strength in all motions Maneuvers: No foot drop with normal reflexes bilaterally Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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