Rheumatology case - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 09-19-2012
K06100's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 730
Threads: 90
Thanked 456 Times in 289 Posts
Reputation: 466
Default Rheumatology case

A 26-year-old woman presents to her primary
care physician complaining of left lower leg
pain when she exercises. She states that when
she is not jogging she is pain free, but when
she jogs >3 miles she begins to note pain and
tightness in her left lower leg. She states that
she often has concurrent numbness and tingling
in the top of her foot during these episodes
of pain. When she ceases strenuous activity,
all symptoms slowly subside over the course
of half an hour. Physical examination is unremarkable
and demonstrates a neurovascularly
intact left lower extremity with supple compartments,
and no focal areas of tenderness. Plain
fi lms of the left knee, tibia, and fi bula are similarly
unremarkable. Which of the following is
the most likely diagnosis?

(A) Acute compartment syndrome
(B) Exertional compartment syndrome
(C) Left knee osteoarthritis
(D) Left sided patellofemoral pain syndrome
(E) Left tibial stress fracture
__________________
Try Not To Become A Man Of Success But A Man Of Value.
Reply With Quote Quick reply to this message



  #2  
Old 09-19-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 851
Threads: 88
Thanked 710 Times in 380 Posts
Reputation: 720
Default

Answer B .............
__________________
"Don't Forget they need us too"
Reply With Quote Quick reply to this message
The above post was thanked by:
K06100 (09-19-2012)
  #3  
Old 09-19-2012
Anders's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 289
Threads: 7
Thanked 129 Times in 102 Posts
Reputation: 139
Default

Quote:
Originally Posted by K06100 View Post
A 26-year-old woman presents to her primary
care physician complaining of left lower leg
pain when she exercises. She states that when
she is not jogging she is pain free, but when
she jogs >3 miles she begins to note pain and
tightness in her left lower leg. She states that
she often has concurrent numbness and tingling
in the top of her foot during these episodes
of pain. When she ceases strenuous activity,
all symptoms slowly subside over the course
of half an hour. Physical examination is unremarkable
and demonstrates a neurovascularly
intact left lower extremity with supple compartments,
and no focal areas of tenderness. Plain
fi lms of the left knee, tibia, and fi bula are similarly
unremarkable. Which of the following is
the most likely diagnosis?

(A) Acute compartment syndrome
(B) Exertional compartment syndrome
(C) Left knee osteoarthritis
(D) Left sided patellofemoral pain syndrome
(E) Left tibial stress fracture
Would go with B.
A need acute compression like swelling from trauma, cast & won't get a relieve unless fasciotomy is done.
C,D,E associated with anterior knee pain with no numbness and tingling.
Reply With Quote Quick reply to this message
The above post was thanked by:
K06100 (09-19-2012)
 
  #4  
Old 09-19-2012
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,327 Times in 711 Posts
Reputation: 1342
Default

Eventho i have never heard of it I would go with B

Tibial stress fractures are more common in marathon runners or the military, not in a weakling 3 mile runner HAHA
Reply With Quote Quick reply to this message
The above post was thanked by:
K06100 (09-19-2012)



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Rheumatology Case Presentation tyagee USMLE Step 2 CK Forum 1 06-11-2012 09:23 AM
Rheumatology sam88 USMLE Step 2 CK Forum 7 11-08-2011 11:17 AM
Rheumatology sam88 USMLE Step 2 CK Forum 8 11-08-2011 11:06 AM
Rheumatology Q? m82_ghasemi USMLE Step 1 Forum 5 10-10-2011 03:54 AM
Spine involvement in rheumatology aasiaafzal USMLE Step 2 CK Forum 0 08-19-2011 03:29 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)