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USMLE Step 2 CK Buzzwords Buzzwords that should ring a bell in USMLE Step 2 CK exam.


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  #1  
Old 07-01-2012
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Wink Differential Diagnosis of Red Swollen Painful Calf

I've seen a ton of questions mentioning Red Swollen Painful Calf (buzzword) and I always get confused and manage to get it wrong..


So what is the differential for a red swollen painful calf? What are the points in the presentation of the question that would help you differentiate between these different diagnoses? (without investigations)

[if you can think of any more -- pls add on]

A few that come to my mind are
1- DVT
2- Ruptured Baker's cyst
3- Cellulitis
4- Necrotizing fascitis
5- Muscular injury
6- Lymph obstruction?
7- Varicosity
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Old 07-03-2012
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anyone care to shed some light?
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  #3  
Old 07-03-2012
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Quote:
Originally Posted by mbbs2010 View Post
I've seen a ton of questions mentioning Red Swollen Painful Calf (buzzword) and I always get confused and manage to get it wrong..


So what is the differential for a red swollen painful calf? What are the points in the presentation of the question that would help you differentiate between these different diagnoses? (without investigations)

[if you can think of any more -- pls add on]

A few that come to my mind are
1- DVT associated with swelling tenderness warmth and PAIN ON DORSIFLEXION or SQUEEZING THE CALF MUSCLES..most of the times pt will present with pulmonary embolism.
2- Ruptured Baker's cyst ?look for history of RHEUMATOID ARTHRITIS
3- Cellulitis fever pain swelling redness NOT ALWAYS LIMITED TO CALF...look for predisposing conditions like diabetes, infection etc.
4- Necrotizing fascitis similar to cellulitis...but presence of CREPITUS
5- Muscular injury
6- Lymph obstruction? FULL LIMB EDEMA and ENLARGED LYMPH NODES
7- Varicosity associated with varicose veins in physical examination
well this is the best I could do...someone else please chip in to complete the details
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  #4  
Old 01-28-2013
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Quote:
Originally Posted by mbbs2010 View Post
anyone care to shed some light?
compartment syndrome?
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