1 / 7

Case Presentation

Case Presentation. Presentation. 58 yo male ED 11/07 Generalised pain R foot – sole, lateral ankle and dorsum Worse at night Afebrile. Clinical Examination. Vitals Normal Painful ++ Right foot Tender Swelling over lateral ankle malleolus, all MTP’s,sole

colleen-liddane
Download Presentation

Case Presentation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Case Presentation

  2. Presentation • 58 yo male • ED 11/07 • Generalised pain R foot – sole, lateral ankle and dorsum • Worse at night • Afebrile

  3. Clinical Examination • Vitals Normal • Painful ++ Right foot • Tender • Swelling over lateral ankle malleolus, all MTP’s,sole • Hot, erythema over lateral aspect • DP/PT Pulse ++

  4. Past Hx • Gout • L foot stress fracture 4th metatarsal – • Cam boot & crutches • Pt been weightbearing on right foot for 1/12 • IHD – stents X5 2005, HTN • Cholesterol • L shoulder replacement and bone graft • L knee arthroscopy X3 ALLERGIES - Iodine

  5. Medications • Pantoprazole 40mg Daily • Diazepam 5mg PRN • Fenofibrate 145mg Nocte • Aspirin 100mg Daily • Candesartan/HCT 16/12.5mg Daily • Allopurinol 100mg Daily • Atenolol 50mg Daily • Colchicine 500mcg Daily Past 1/12: • Panadeine forte • Valium PRN for muscle relextant • Voltaren PRN

  6. Investigations • UEC- normal • FBE: Normal • Neutrophil: Normal • CRP: 37.6 • Xray for foot

  7. Treatment Plan • Colchicine 1mg tds • Continue allopurinol • NSAIDs for 3/7 • Gout flare? Septic arthritis? • Given generalised nature of swelling and pain with no specific joint involved, unlikely septic arthritis • No WCC/CRP rise • Elevate and ice foot and see if any improvement.

More Related