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Foot pain

  • Common ddx

    • bunion
    • poor-fitting shoes
    • athlete's foot
    • cellulitis
    • diabetic foot
    • plantar fasciitis (sole pain anywhere from heel to front of foot)
    • morton's neuroma (pain, paresthesia between metatarsals)
  • Serious ddx

    • fractures, lisfrancs (metatarsal tenderness, unable to bear weight)
    • osteomyelitis (fever)
    • arterial embolism (pallor, decreased pulse)
    • arterial insufficiency (intermittent claudication triggered by exercise)
  • Get xray if

    • metatarsal tenderness
    • unable to ambulate 4 steps
    • high suspician: trauma, elderly, osteopenia
  • Toe ddx

    • ingrown toenail, paronychia, gout, bunion
  • Ankle ddx

    • achilles tendonitis, tarsal tunnel
  • HPI

    • onset
    • triggering event: trauma
    • quality
    • severity
    • ability to ambulate
    • alleviation
    • aggravation
  • ROS

    • fever
    • chest pain, dyspnea
    • nausea, vomiting, diarrhea, abdominal pain
    • numbness, tingling, weakness
  • PMH

    • diabetes
  • FH

  • SH

    • occupation
    • running, long-distance walking, sports
    • comfortable shoes
  • Meds

  • Allergies

  • General Px

    • vitals
    • gen impression
    • cardio, pulm, abd
    • neuro
  • Foot Px

    • inspection: ulcers, erythema, bruising, deformity
    • palpation: metatarsals
    • check pedal pulse
    • sensation of toes
    • strength of toes, ankle
    • achilles reflex
    • Morton's neuroma test: tenderness between metatarsals
    • Plantar fasciitis test: plantar tenderness with toes flex, tenderness to palpation
    • check toes, nails, ankle
    • ambulate

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.