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  #1  
Old 01-22-2013
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Default Pain in leg ?

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
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  #2  
Old 01-22-2013
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i think it's D) left sided patello femoral pain syndrome

thanks
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Old 01-22-2013
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Hi venky! Good to see you again!
My answer is D).
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Old 01-22-2013
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(B) Exertional compartment syndrome
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Old 01-22-2013
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Quote:
Originally Posted by Teona View Post
Hi venky! Good to see you again!
My answer is D).
Oh, I typed the wrong choice. I wanted to say my answer is B) sorry for that!
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Old 01-23-2013
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The correct answer is B.

Exertional compartment syndrome is a condition in which the patient experiences pain over the anterior lower leg caused by a pressure build-up within the muscles of the leg. Patients typically complain of pain after a period of activity or exercise, and it is quickly relieved by rest. As blood flow to the muscle increases with activity, the muscle swells and becomes constricted by the encompassing fascia. Pain results from the ensuing ischemia. There may also be associated numbness in the dorsum of the foot or weakness on dorsiflexion at the ankle. The diagnosis is made by measuring pressures within the leg at rest followed by a reading after some exercise.Treatment consists of a surgical fasciotomy,which involves release of the tight fascia.
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