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Help - lump on toe

Discussion in 'General Issues and Discussion Forum' started by emoclew, Nov 25, 2005.

  1. emoclew

    emoclew Member


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    Can anybody offer any prelim. suggestions for a lady that I will be seeing in a couple of weeks. She described her problem to me over the phone and I would like to have some d/dx for when she comes in. Last couple of years she has had a lump on her middle right toe which sweels up and fills with "pus" (a white exudate). Unless she expels this it gets very sore. The lump is dorsally. This si all the info I know so far.
    Thanks anyone
    Lisa
     
  2. John Spina

    John Spina Active Member

    Is this patient diabetic?If so,this sounds to me like diabetic bullae,which drains an aseptic fluid.If not it could be blisters related to shoegear or an ingrown nail w/paronychia.
     
  3. dmd31842

    dmd31842 Member

    Could also be a tophaceous gout. David M. Davidson, DPM
     
  4. John Spina

    John Spina Active Member

    Dr.Davidson has a good point.Anyway,blood work and a complete H &P is the way to go.
     
  5. dr.morse

    dr.morse Welcome New Poster

    If it is not a bullae and it is not gout it can be a ganglion. I just surgically resected a large 2.0 cm ganglion from the extensor tendon of the hallux after draining it 2x did not yield lasting results.

    J. Morse, DPM
    Wash DC
     
  6. emoclew

    emoclew Member

    thanks

    Thank you for your suggestions. I am seeing this lady tomorrow so your thoughts are sure to come in very handy.

    Thanks again
    Lisa
     
  7. emoclew

    emoclew Member

    Hi,
    thought I'd just update on the lump. The pt had popped the lump and said it did not look at all like a blister. When I saw it, it was red, but with no centre or head. Looked like there was some osteophyte below it. She's not diabetic. Very dorsiflexed digits so I made a simple felt dorsal pad to try to take the pressure off the area. She's very active and has developed this since upping her fitness regime on the treatdmill. I haven;t heard anything back yet.

    Cheers
    Lisa
     
  8. One Foot In The Grave

    One Foot In The Grave Active Member

    I'd follow up for gout.
     
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