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Toe pain

  • Most common ddx

    • bunion, gout, poor-fitting shoes, athlete's foot, diabetic foot, traumatic injury, RA, OA, ingrown toenail, paronychia
  • Don't miss

    • diabetic ulcer, arterial embolism, arterial insufficiency, septic arthritis
  • Labs

    • CBC if fever
    • xray if suspect fracture
    • joint aspiration if suspect septic arthritis, gout
    • uric acid level if gout
  • HPI

    • onset
    • triggering event
    • location
    • quality: swelling, color, deformity
    • severity
    • alleviation
    • aggravation
  • ROS

    • trauma
    • fever
    • chest pain, dyspnea
    • GI: nausea, vomiting, diarrhea, abdominal pain
    • neuro: numbness, tingling, muscle weakness
    • ability to ambulate
  • PMH

    • diabetes
    • gout
    • arthritis
    • atherosclerosis
  • FH

  • SH

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

  • Allergies

  • Px

    • vitals
    • gen impression
    • cardio, pulm, abd
    • inspection: ulcers, erythema, edema, bruising, deformity, nails
    • palpation: tenderness
    • ROM
    • neuro: strength, sensation, gait

  • 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.