A 12-year-old boy complains of three months of right foot pain, made worse with running and jumping. He was playing a football scrimmage today when the pain worsened and it became difficult for him to walk. On arrival, his vital signs and general exam are normal. He has a normal right foot exam by inspection, but on palpation has focal tenderness. His radiograph is below:
Which of the following is the MOST helpful in narrowing the differential diagnosis?
A. Tenderness to palpation at the base of the 5th metatarsal
B. Preservation of metatarsal-cuboid joint
C. Increased pain with bearing weight
D. Increased pain with inversion
A. Tenderness to palpation at the base of the 5th metatarsal
B. Preservation of metatarsal-cuboid joint
C. Increased pain with bearing weight
D. Increased pain with inversion
In the meantime, a quote –
“It is by poultices, not by words, that pain is ended, although pain is by words both eased and diminished.”
– Petrarch (1304-1374)
Italian poet and scholar
“It is by poultices, not by words, that pain is ended, although pain is by words both eased and diminished.”
– Petrarch (1304-1374)
Italian poet and scholar
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