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Old 03-15-2012, 03:09 PM   #1
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Default Patient Case

ANY patient with a PMH of 1) diabetes mellitus, 2) hallux limitus/rigidus, and 3) onychauxis of the hallux digit should watch out for this PRIMARY disease....

No it is not psoriasis. No it is not hemochromatosis. Try again podiatry externs
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Old 03-15-2012, 05:50 PM   #2
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Prostatitis.
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Old 03-15-2012, 06:25 PM   #3
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Prostatitis.
NO

Let's paraphrase, hopefully making it more easier:

ANY diabetic adult with a hallux digit that shows on clinical exam onychauxis and hallux limitus/rigidus. What primary disease should you warn the patient about as being a great risk in the near or distant future based on such a PMH?
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Old 03-16-2012, 06:03 AM   #4
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this is not a primary disease, but i thought i would add it to the list of possibilites

Osteomyelitis.... due to increased pressures to the distal plantar hallux which will cause increase hpk tissue which untreated will cause tissue breakdown underlying it. and if cont to be untreated could breakdown to where bone infection manifest.
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Old 03-16-2012, 06:32 AM   #5
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this is not a primary disease, but i thought i would add it to the list of possibilites

Osteomyelitis.... due to increased pressures to the distal plantar hallux which will cause increase hpk tissue which untreated will cause tissue breakdown underlying it. and if cont to be untreated could breakdown to where bone infection manifest.
You are a very bright podiatry student I see. But you went a step too far. Osteomyelitis indeed is a secondary disease (like you stated) that happens when this primary disease I am looking for is not treated promptly.

Last edited by Dr Hurly MD; 03-16-2012 at 07:14 AM.
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Old 03-16-2012, 07:16 AM   #6
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Quote:
Originally Posted by backrowH20 View Post
this is not a primary disease, but i thought i would add it to the list of possibilites

Osteomyelitis.... due to increased pressures to the distal plantar hallux which will cause increase hpk tissue which untreated will cause tissue breakdown underlying it. and if cont to be untreated could breakdown to where bone infection manifest.
HINT: What is another name for the statement in boldtype?
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Old 03-16-2012, 08:08 AM   #7
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HINT: What is another name for the statement in boldtype?
Abscess?
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