Pertanent Positives Flashcards
Laryngeal cancer
Cervical LAD Worsening horseness over past 3 months Weight loss, decreased appetite, and low grade fever. History of smoking and/or ETOH use Advance age PE: Fever
Laryngitis
Recent viral infection such as flu 4 weeks ago. History of smoking Polluted air Low grade fever GERD PE: Low grade fever
Laryngeal polyps
Over use such as teacher/singer
Laryngeal cancer, Laryngitis, Laryngeal polyps
Tests
Laryngoscopy
ESR
US neck
CT chest/neck
Disk Herniation
Neck pain that increases with movement.
Radiculopathy (numbness left arm)
PE: Loss of pinprick sensation to dorsum of left hand hand and posterior left forearm.
Cervical fracture
Rapid rotation neck preceded pain.
Pain increases with movement.
Osteopenia on DEXA scan.
Neck muscle spasm
Rapid rotation of neck preceded pain
Disk Herniation, Cervical fracture, Neck spasm
Tests
XR-C-spine
MRI-C-spine
Nerve conduction study
Cholecystitis
Pain is exacerbated by heavy fatty foods Associated with nausea and vomiting Female gender, age in 40's PE: Epigastric tenderness positive Murphey's sign
Peptic Ulcer Disease
History of NSAID use
Epigastric pain 2-3 hours after meals
Pain is exacerbated by hunger and fatty foods and is relieved by antacids
PE: Epigastric tenderness
Gastritis
History of NSAID use
Epigastric pain associated with food
Nausea and vomiting
PE: Epigastric tenderness
Cholecystitis, Peptic Ulcer Disease, Gastritis
Rectal exam, stool for occult blood
US abdomen
Upper endoscopy
H. Pylori antibody testing
Migraine
Unilateral, sharp headache
Associated with nausea and vomiting
Photophobia
PE: Severe sharp pain with lack of neurologic findings
Tension headache
Chronic headaches
Associated with stress at work
Improves with sleep
PE: Severe sharp pain with lack of neurologic findings
Itracranial mass lesion
Headaches associated with nausea and vomiting
Family history of brain tumor
Migraine, Tension headache, Itracranial mass lesion
Tests
CBC
CT head or MRI brain
LP
CT sinus
Pregnancy
Change in menstrual cycle
Regular sexual activity
Previous successful pregnancy
Hyperprolactinomia
Galactorrhea
Oligomenorrhea
Polycystic ovary syndrome
Weight gain
Hirsutism
Oligomenorrhea
Pregnancy, Hyperprolactinomia, Polycystic ovary syndrome
Tests
Urine hCG
Pelvic and breast exam
Prolactin, TSH
LH, FSH
Vulvovaginitis
White vaginal discharge
Fishy odor of discharge
Vaginal pruritus
Cervicitus
White vaginal discharge
Dyspareunia
Sexual activity without barrier contraception
Endometriosis
Dysmenorrhea
Dyspareunia
Vulvovaginitis, Cervicitus, Endometriosis
Tests
Pelvic exam
Wet mount, KOH prep, “whiff test”
Cervical cultures (chlamydia and gonorrhea DNA probes)
Laprascopy
Presbycusis
Bilateral, progressive hearing loss Advanced age Hypertension PE: Positive Rinne test Lack of lateralization on Weber test
Cochler nerve damage
Prior exposure to loud sounds
Bilateral hearing loss
PE: Positive Rinne test
Lack of lateralization on Weber test
Otosclerosis
Bilateral, progressive hearing loss
Advanced age
PE: Lack of lateralization on Weber test
Presbycusis, Cochler nerve damage, Otosclerosis
Tests
Audiometry
Tympanography
Brain stem auditory evoked potentials
Physiologic jaundice
Infant in first week of life
No changes in feeding, urination, or bowel movements
ABO or Rh incompatibility
Infant in first week of life
Mother and father with different ABO types
Neonatal sepsis
History of maternal infection
Physiologic jaundice, ABO or Rh incompatibility, Neonatal sepsis
Tests
Total and indirect bilirubin
Blood typing
Direct Coombs test
CRP
Viral URI
Fever (101F) Rhinorrhea Sibling with URI Daycare attendance Increased breathing rate
Pneumonia
Fever (101F)
Daycare attendance
Sibling with URI
Increased breathing rate
Otitis media
Fever (101F)
Irritability
Daycare attendence
Viral URI, Pneumonia, Otitis media
Tests
CBC with differential Blood culture UA and urine culture CXR Respiratory viral panel Pneumatic otoscopy
Pneumonia
Persistent cough Low grade fever PE: Increased tactile fremitus Decreased breath sounds right side Temperature 99.9F
URI-associated cough (post-infectious cough)
Recent URI
Low grade fever
White sputum production
PE: Temperature 99.9F
Acute bronchitis
Low grade fever Persistent cough White sputum production PE: Increased tactile fremitus Temperature 99.9F
Pneumonia, URI-associated cough (post-infectious cough), Acute bronchitis
Tests
CXR
CBC with differential
Sputum gram stain and culture
Extrahepatic biliary obstruction
Light colored stools, dark urine Pruritus Father with pancreatic cancer PE: Jaundice scleral icterus RUQ tenderness
Viral hepatitis
History of blood transfusion Recent travel to Mexico PE: Jaundice scleral icterus RUQ tenderness
Acetaminophen hepatotoxicity
Frequent acetaminophen use Concomitant alcohol use PE: Jaundice scleral icterus RUQ tenderness
Extrahepatic biliary obstruction, Viral hepatitis. Acetaminophen hepatotoxicity
Tests
AST/ALT/bilirubin/alkaline phosphatase
US RUQ abdomen
Viral hepatitis serologies
Meniere’s disease
Sensation of room spinning Left sided hearing loss tinnitus sensation of aural fullness PE: Decreased hearing acuity on the left Positive Rinne test
Benign paroxysmal positional vertigo
Sensation of room spinning
Onset with positional changes
Duration 20-30 minutes
Orthostatic hypotension causing dizziness
History of diarrhea
Taking antihypertensive medication
Meniere’s disease, Benign paroxysmal positional vertigo, Orthostatic hypotension causing dizziness
Tests
Dix-Hallpike maneuver
Audiometry
MRI brain
Gout
Monoarticular joint pain and tenderness History of swollen toe Occasional alcohol use PE: Joint tenderness and stiffness Swelling at left knee
Rheumatoid arthritis
Morning joint stiffness Family history of rheumatoid arthritis Systemic symptoms (anorexia, weight loss, fatigue, fever) PE: Joint tenderness and stiffness Temperature 99.9F
Systemic lupus erythematosus
Systemic symptoms (anorexia, weight loss, fatigue) History of multiple ulcers History of 2 spontaneous abortions Raynaud's phenomenon PE: Joint tenderness and stiffness
Gout, Rheumatoid arthritis, Systemic lupus erythematosus
tests
CBC with differential
Immunologic testing (ANA, dsDNA, RF, CCP)
Knee aspiration with Gram stain, culture, and inspection for crystals.
XR left knee and both hands
Plantar fasciitis
Training for marathon
Pain is gradual
Pain is worse with first few steps in the morning and after prolonged sitting
PE: Tenderness over medial calcaneal tuberosity
Pain with toe dorsiflexion
Calcaneal stress fracture
Training for a marathon
Diffuse pain over heel
Refractory to conservative management
PE: Tenderness over plantar heel and arch
Achilles tendinitis
Training for a marathon
PE: Pain with toe dorsiflexion
Plantar fasciitis, Calcaneal stress fracture, Achilles tendinitis
Tests
XR right ankle/foot
Bone scan
MRI right ankle/foot
Acute otitis media
Fever 101F
Pulling at the right ear; fatigued and not watching TV usual
History of otitis media
Runny nose and cough that have subsided
Meningococcal meningitis
Maculopapular facial rash that has spread to the chest, back, and abdomen
Fever 101F
Difficulty sleeping for 2 days
Recent episode of vomiting
Scarlet fever
Maculopapular facial rash that has spread to the chest, back, and abdomen
Fever 101F
Difficulty swallowing for 2 days
Acute otitis media, Meningococcal meningitis, Scarlet fever
Tests
Pneumatic otoscopy LP CSF analysis CBC with differential Blood culture UA and urine culture Throat culture Platelets, PT/PTT, D-dimer, fibrin split products, fibrinogen
Pulmonary tuberculosis
Fever and night sweats with fatigue
Worsening cough of 1 month’s duration
Close contact with patients with active TB
Decreased appetite with unintentional weight loss of 6lbs over 2 months
PE: Blood-tinged mucus
Lung cancer
Fever and night sweats with fatigue
Decreased appetite with unintentional weight loss of 6lbs over 2 months
History of heavy smoking and chronic bronchitis
PE: Blood tinged mucus
Typical pneumonia
Fever
Mucus production
History of heavy smoking and chronic bronchitis
PE: Sputum production
Pulmonary tuberculosis, Lung cancer, Typical pneumonia
Tests
PPD or Quantiferon Gold CBC Blood cultures Sputum Gram stain, AFB smear CXR PA and lateral CT chest Bronchoscopy Lung biopsy
Pancreatic cancer
History of smoking and eating foods that are high in fat content
Unintentional weight loss of 8 lbs over past 6 months
Foul smelling, greasy looking stools
PE: Mild epigastric pain
Depression
Feelings of sadness
Loss of interest in activities, early awakening, impaired concentration, low energy
Decreased appetite, and unintentional weight loss
Chronic pancreatitis
History of alcohol use
Worsening epigastric discomfort that radiates to the back
Foul smelling, greasy looking stools
PE: Mild epigastric pain
Pancreatic cancer, Depression, Chronic pancreatitis
Tests
CBC, stool for occult blood Glucose Fecal fat studies Amylase, lipase AST/ALT/bilirubin/alkaline phosphatase CT abdomen
Medication induced erectile dysfunction
Taking propanolol
Onset of ED coincides with propranolol use
No early morning or nocturnal tumescence
Erectile dysfunction secondary to vascular disease
History of hypertension
History of hyperlipidemia
Hair loss
No early morning or nocturnal tumescence
Hypogonadism
Loss of libido and ED
Hair loss
No early morning or nocturnal tumescense
Medication induced erectile dysfunction
Erectile dysfunction secondary to vascular disease
Hypogonadism
Tests
Genital and rectal exams Serum glucose Testosterone level Prolactin, TSH, LH/FSH Ferritin MRI brain Doppler US penis Dynamic cavernosography
Anxiety
Impaired concentration, irritability, difficulty sleeping, muscle tension, sweating, and palpitations
Anxiety over academic achievement
No history of substance use
PE: Tachycardia (HR 102/minute)
Caffeine induced insominia
Drinks 4-5 cups of caffeine per day
Spends 2 hours awake before falling asleep
History of heart palpitations that are more pronounced after drinking caffeine
PE: Tachycardia (HR 102/minute)
Hyperthyroidism
Anxiety
History of unintentional weight loss, tremor, fatigue, sweating, palpitations, and increased bowel movements
PE: Tachycardia (HR 102/minute)
Anxiety, Caffeine induced insomnia, Hyperthyroidism
Tests
TSH, FT3, FT4
Foreign body aspiration
Sudden onset while playing with toys
Noisy breathing
Croup
Noisy breathing
Difficulty breathing
Fever for the past week
Epiglottitis
Occasional voice hoarseness
Occasional muffling
Foreign body aspiration, Croup, Epiglottitis
Tests
ABG CXR PA and lateral XR neck, AP and lateral CBC with differential Bronchoscopy Direct laryngoscope
Appendicitis
Right lower abdominal pain Pain exacerbated by movement Nausea and vomiting Low grade fever PE: RLQ direct and rebound tenderness RLQ gaurding Temperature 100.5F Positive Rovsing's sign Positive Psoas sign
Pelvic inflammatory disease
STD 6 months ago with untreated partner Nausea and vomiting Spotting Unprotected sex with multiple partners Low grade fever PE: RLQ tenderness Temperature 100.5F
Ruptured ectopic pregnancy
Last menstrual period 5 weeks ago and spotting Crampy lower abdominal pain Pain is exacerbated by movement Nausea and vomiting Pain is of recent onset PE: RLQ rebound tenderness RLQ guarding
Appendicitis, Pelvic inflammatory disease, Ruptured ectopic pregnancy
Tests
Urine hCG Pelvic exam Cervical cultures U/S abdomen and pelvis CT abdomen and pelvis CBC
Alzheimer’s disease
Steady cognitive decline Memory impairment Impaired executive functioning Decline in activities of daily living PE: Failed 3 item recall
Vascular (“multi-infarct”) dementia
Previous stroke History of coronary artery disease (MI) Hypertension Impaired executive functioning PE: Decreased strength in left upper extremity DTRs 3+ in left upper and lower extremities Positive Babinski bilaterally Failed 3 item recall
Dementia syndrome of depression
Dysphoria after husband’s death
impaired executive funtioning
Memory impairment
PE: Failed 3 item recall
Alzheimer’s disease, Vascular (“multi-infarct”) dementia, Dementia syndrome of depression
Tests
CT head or MRI brain EEG or SPECT CBC Serum B12, TSH, RPR Electrolytes, calcium, glucose BUN/Cr
Major depressive disorder
Dysphoria, anhedonia Loss of appetite Passive suicidal ideation Decreased energy/fatigue Impaired concentration Early awakening
Hypothyrodism
Fatigue for 3 months
Cold intolerance
Hair loss
Weight gain
Post traumatic stress disorder
Nightmares about the trauma
Negative mood/anhedonia
Decreased concentration
Difficulty staying asleep
Major depressive disorder, Hypothyrodism, Post traumatic stress disorder
TSH
CBC
HIV antibody
Domestic violence
Admits to physical abuse Exhibits self blame Attempts to defend husband Episodes of abuse directed at child PE: Symmetrical bruises on extremities
Diabetes mellitus
Polyuria, polydipsia
Obesity
Family history of diabetes
Anemia
Fatigue/weakness
Heavy menstrual flow
PE: Conjunctival pallor
Domestic violence, Diabetes mellitus, Anemia
Tests
Serum glucose, HbA1c, CBC Serum iron, ferritin, TIBC, serum B12 UA Electrolytes
PCP intoxication
Drug use 1 day before presentation Visual hallucinations Noncommand auditory hallucinations Delusions Myalgias PE: Tachycardia (HR 110/minute) Hypertension (BP 140/80) Vertical gaze nystagmus
Substance induced psychosis
Drug use 1 day before presentation Visual hallucinations Noncommand auditory hallucinations Delusions No history of non-drug-related psychosis Does not associate drug use with presentation PE: Dilated pupils
PCP intoxication, Substance induced psychosis
Urine toxicology Electrolytes CPK Urine myoglobin Mental status exam
COPD/Chronic bronchitis
Chronic cough
Sputum production
History of smoking 1PPD x 10 years
Worked as coal miner
Pneumoconiosis
Worked as coal miner
Chronic cough
Pulmonary tuberculosis
Recent emigration from Africa Chronic cough Weight loss Blood tinged sputum Dyspnea Chest pain TB exposure
COPD/Chronic bronchitis, Pneumoconiosis, Pulmonary tuberculosis
Tests
CXR PA and lateral
PPD or Quantiferon gold
CBC
Colorectal cancer
Blood mixed with stool for 1 month
Family history of colorectal cancer
Unintentional weight loss of 10lbs
Change in bowel habits
Hemorrhoids
History of hemorrhoids
Hematochezia
Fresh blood on toilet paper or in toilet bowel
C difficile colitis
Acute diarrhea
Recent antibiotic exposure
Colorectal cancer, Hemorrhoids, C difficile colitis
Tests
Rectal exam, stool for occult blood Colonoscopy Stool for C difficile PCR Fecal leukocytes CBC Anoscopy flexible proctosigmoidoscopy
Parkinson’s disease
Resting tremor that is evident with the affected body part supported and completely at rest.
Improves with voluntary movement
PE: Low frequency tremor in upper extremity
Bradykinetic gait
Upper extremity rigidity
Essential tremor
Possible family history of tremor Action tremor PE: Tremor in distal upper extremity Tremor with arms out stretched Positive F/N
Physiologic tremor
Resting tremor
PE: Tremor in distal upper extremity
Parkinson’s disease, Essential tremor, Physiologic tremor
Tests
MRI brain
Hypothyrodism
Oligomenorrhea and hypomenorrhea Chronic dry skin Chronic cold intolerance Weight gain Deepening of voice Constipation Depression Fatigue
Smoking cessation
Weight gain following smoking cessation normally 5 pounds
Lithium related weight gain
On going lithium therapy Cold intolerance Dry skin Confusion Dizziness Headache Lethargy Hair loss Fatigue
Hypothyrodism, Smoking cessation, Lithium related weight gain
Tests
TSH
Serum lithium level
Fasting glucose, cholesterol, triglycerides
Viral gastroenteritis
Acute watery diarrhea
Low grade fever 100.5F
Day care attendance
Bacterial diarrhea
Acute diarrhea
Day care attendance
Low grade fever 100.5F
Malabsorption
Watery diarrhea
Dry mouth
Juice in babies of this age group
Viral gastroenteritis, Bacterial diarrhea, Malabsorption
Physical exam
Rotavirus enzyme immunoassay/norovirus PCR
Electrolytes
Stool leukocytes, culture, ova and parasitology and pH
Intussusception
Abdominal pain
Vomiting
Bloody ("currant jelly") stools
Recent viral illness
Low grade temperatureMonosymptomatic primary nocturnal enuresis
Chronic nocturnal enuresis
Family history of enuresis
History of never being continent
Urinary tract infection
Enuresis
Possible dyduria
Secondary enuresis
Nocturnal enuresis
Major trauma
Life or environmental change (divorce, major illness, abuse)
Monosymptomatic primary nocturnal enuresis, Urinary tract infection, Secondary enuresis
Tests
Genital exam
UA
Urine culture
Sleep apnea and Narcolepsy in children
Can cause enuresis
Functional bladder disorder
Void several times a day
Hold urine until the last moment
Wet small volumes almost every night
Sometimes multiple times a night
Simple febrile seizure
Seizure duration
Meningitis
Tonic-clonic seizure
Fever Tmax 102.9F
Decreased appetite
Decreased urine output
Hyponatremia
Seizure
Poor family waters down infant formula
Simple febrile seizure, Meningitis, Hyponatremia
LP CSF analysis
CBC
Elecrolytes
Infectious mononucleosis
Sore throat 2 weeks (exudative pharyngitis) LUQ pain Recent history of ill contact PE: LUQ tenderness Lymphadenopathy Splenomegaly
Acute HIV infection
Sore throat 2 weeks
Two sexual partners over the past year, active with men and women
Treated for gonorrhea 4 months ago
Streptococcal pharyngitis
Sore throat 2 weeks
Low grade fever
History of cigarette smoking
PE: Lymphadenopathy
Infectious mononucleosis, Acute HIV infection, Streptococcal pharyngitis
Tests
CBC with peripheral smear Monospot test Anti-EBV antibodies HIV antibody and viral load Throat culture
Convulsive syncope
Loss of consciousness for several minutes
Arms and legs shaking for 30 seconds
No subsequent confusion or weakness
Cardiac arrhythmia
Loss of consciousness preceded by palpitations and lightheadedness
Taking a B-blocker (atenolol)
No subsequent confusion or weakness
History of MI
Seizure
Loss of consciousness lasting several minutes Arms and legs shaking for 30 seconds Sudden onset Tongue biting Incontinence Prolonged confusion Drowsiness postictally
Convulsive syncope, Cardiac arrhythmia, Seizure
Tests
CBC Electrolytes ECG and Holter or event monitor CT head or MRI brain EEG
Vasovagal sycnope
Nausea Sweating Tachycardia Pallor Feeling "Faint"
Myocardial ischemia or infarction
Pressure like substernal chest pain
Pain radiates to left arm, upper back, and neck
Pain awakens patient at nght
Cocaine induced myocardial ischemia
History of cocaine use
Last used yesterday afternoon
Pressure like substernal chest pain
GERD
Pain in midchest
Previous pain relieved by antiacids
Previous pain occurred after heavy meals
Myocardial ischemia or infarction, Cocaine induced myocardial ischemia, GERD
Tests
ECG Cardiac enzymes (CPK, CPK-MB, troponins) Transthoracic echocardiography Upper endoscopy Urine toxicology
Bladder cancer
Hematuria Straining on urination Weak urinary stream and dribbling Work as painter (exposure to industrial solvents) History of smoking 1 PPD x 30 years
Urolithiasis
Hematuria
Straining on urination
PE: CVA tenderness
Benign prostatic hypertrophy
Polyuria, nocturia
Weak urinary stream and dribbling
Straining on urination
Bladder cancer, Urolithiasis, Benign prostatic hypertrophy
Tests
Genital exam Rectal exam Cystoscopy US renal UA CT abdomen/pelvis PSA
Disk herniation
Low back pain Pain started after lifting heavy boxes Pain radiates to left thigh and foot Pain worsens with movement and is relieved by lying still PE: Positive straight leg raise
Lumbar spinal stenosis
History of intermittent low back pain and leg pain with ambulation
Pain resolves with sitting
PE: Walks with back slightly bent forward
Metastatic prostate cancer
Difficulty urinating
Incomplete emptying of bladder
Low back pain
Disk herniation, Lumbar spinal stenosis, Metastatic prostate cancer
Tests
XR L spine
MRI L spine
Rectal exam
PSA
Pneumothorax
Left sided chest pain following an MVA
Pain is exacerbated by movement and deep breaths
Dyspnea
JVD
PE: Decreased breath sounds over left lung field
RR 22/minute
Hemothorax
Left sided chest pain following an MVA
Dyspnea
Cough
PE: Decreased breath sounds over left lung field
RR 22/minute
Hypovolemic shock
Pneumonia
Unilateral chest pain Productive cough Low grade fever PE: Temperature 100F RR: 22/minute
Pneumothorax, Hemothorax, Pneumonia
Tests
CXR
Sputum and blood Gram stain and culture
Normal pregnancy
Amenorrhea for 6 weeks
Positive pregnancy test
Bilateral breast engorgement
Nausea and weight gain
Ectopic pregnancy
Amenorrhea 6 weeks
Positive pregnancy test
Molar pregnancy
Positive pregnancy test
Nausea
Normal pregnancy, Ectopic pregnancy, Molar pregnancy
Tests
Urine hCG
US pelvis
Breast/pelvic exams
Blood type, Rh, antibody screen
Type 1 diabetes mellitus
Polyuria, polydipsia
Recent weight gain
Hyperglycemia
Type 2 diabetes mellitus
Polyuria, polydipsia
Recent weight gain
Hyperglycemia
Secondary cause of diabetes
Obesity
Type 1 diabetes mellitus, Type 2 diabetes mellitus, Secondary cause of diabetes
Tests
Insulin and C peptide levels Islet cell antibodies HbA1c Electrolytes, glucose UA and urine microalbumin 24 hour urine free cortisol
Humeral fracture
Pain following fall on outstretched arm
Pain increases with arm movement
PE: Tenderness over upper and middle right arm
Restricted range of motion
Shoulder dislocation
Pain following fall on outstretched arm
Pain increases with arm movement
PE: Right arm externally rotated and slightly abducted
Pain and restricted range of motion on shoulder exam
Osteoporosis
Advanced age
Humeral fracture, Shoulder dislocation, Osteoporosis
Tests
XR right shoulder and arm
MRI shoulder
Bone density scan (DEXA)
Insulin induced hypoglycemia
Episodes of palpitations and diaphoresis that resolve with drinking orange juice
Tight glycemic control
Diabetic peripheral neuropathy
History of diabetes mellitus
Constant numbness and tingling in feet
PE: Absent ankle jerk
Organic erectile dysfunction
Loss of erection for 2 years with absence of early morning erection
History of diabetes mellitus
History of alcohol use
Taking lovastatin and atenolol
Insulin induced hypoglycemia, Diabetic peripheral neuropathy, Organic erectile dysfunction
Genital exam Serum glucose, HbA1c UA, urine microalbumin, Bun/Cr Doppler US penis Nerve conduction studies
Rib fracture
Physical assualt
Right chest pain
Pain is exacerbated by movement and deep breaths
PE: Tenderness to palpation right chest wall
STD
Sexual assault by 2 men
No condoms use
Pregnancy
Unprotected vaginal intercourse with possible ejaculation
No OCP use
Last menstrual period 3 weeks ago
Rib fracture, STD, Pregnancy
Pelvic exam XR skeletal survey CXR Urine hCG Wet mount, KOH prep, cervical culture, gonorrhea and chlamydia tests HIV antibody, VDRL, HBV antigen
Deep venous thrombosis
Recent 15 hour plane flight
Weight gain of 50lbs over the past 3 years
Taking oral OCPs for 2 years
Father with DVT (possible familial thrombophilia)
PE: Homan’s sign
Pitting edema
Swollen, tender, red, warm right calf
Cellulitus
Cuts to right leg secondary to fall
Low grade fever
PE: Swollen, tender, red, warm right calf
Temperature 99.9F
Rupture of Baker’s cyst
Spasmodic pain in right calf
PE: Swollen, tender right calf
Deep venous thrombosis, Cellulitus, Rupture of Baker’s cyst
Tests
Doppler US legs D-dimer Hypercoagulability testing CBC with differential Wound and blood cultures
