Hi, this is my first post so am a little uncertain how this all works, but here goes!
Members do not see these Ads. Sign Up.
I am a 2nd year student Podiatrist and today a male patient (60 yo approx) arrived in clinic with a referral from his GP regarding toenail pain. But anomalies were found during a routine new patient assessment
Medical Hx:
- knocked off bicycle by car, 2017: r/shoulder pain. Full extent of further damage unknown.
- arthrodesis b/1+2; leaving patient feeling unstable on feet
New patient assessment findings:
- sensory neuropathy associated with 10g monofilament: 5/10 and 7/10
- biphasic pulses, although not palpable by hand
- calf bulk: reduced despite being an active person
- power: 1 on MRC scale b/f for inversion, eversion, p. flexion, d. flexion.
- unable to raise heels when weight-bearing
- reflexes: b/knees: 1+. B/Ankles: 0. Pl. Reflex: Babinski response absent
- no signs of foot drop in gait, but walks with wide base due to instability stated above
Pt said he sometimes feels his feet are not a part of him, and that he feels he is "clumping" his feet as he walks.
Pt still often rides his bike but shorter distances due to a lack of confidence since the accident.
We have contacted his GP to arrange for further testing and to see if they can shed some more light on the bike injury, but was wondering if anybody had any ideas of what this could be? I have found it to be a really interesting case and added it to my clinical case load so will be able to provide updates as it progresses. But as it stands, researching the condition in relation to the patients status as a whole is so far proving difficult! Any pointers/advice/thoughts etc?
<
Shoe and Sock Sanitization in the Management of Superficial Fungal Infections of the Feet
|
What foot and ankle outcome measures are important to patients?
>
<
Shoe and Sock Sanitization in the Management of Superficial Fungal Infections of the Feet
|
What foot and ankle outcome measures are important to patients?
>
Loading...
- Similar Threads - Lower Motor Neuron
-
- Replies:
- 0
- Views:
- 8,012
-
- Replies:
- 0
- Views:
- 9,642
-
- Replies:
- 1
- Views:
- 9,600
-
- Replies:
- 0
- Views:
- 299
-
- Replies:
- 0
- Views:
- 413
-
- Replies:
- 0
- Views:
- 517
-
- Replies:
- 1
- Views:
- 1,041