Running Away From The Diagnosis

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Running Away From The Diagnosis - Page #1

Author: Preston DeHan, DO Co Author #1: Dr Benjamin Buchanan, MD, FAAFP, CAQSM Senior Editor: Adam Lewno, DO Editor: Wade Rankin, DO Patient Presentation: 31 year old male soldier presented with 8 month history of atraumatic left posterolateral leg pain. History: While running, the soldier's left calf became extremely painful and felt tight and swollen. His pain did not radiate to the ankle. Symptoms typically occurred approximately one mile into his run and resolved rapidly upon cessation of activity. The soldier's sharp pain resolved immediately with cessation of activity and his dull ache resolved after 15-20 minutes. There was no pain with simple ambulation. Patient denied paresthesias in his foot or foot drop. He tried stretches and rest without improvement. Patient endorsed left lateral ankle sprain approximately nine months prior but said he recovered from this after one week. Patient was referred to sports medicine for further evaluation. Physical Exam: Left Leg Exam Inspection: No antalgic gait, swelling, erythema, bruising, atrophy or other deformity. Range of Motion: Full ROM of knee, hip and ankle. Palpation: No tenderness of tibia, gastroc-soleus complex, quadriceps, or hamstrings. Neurovascular: Sensation and distal pulses were intact. Strength: 5/5 strength throughout entire upper and lower leg and ankle. Special Tests: All provocative tests were unremarkable Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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