A 32-year-old warehouse worker presents to clinic with compl…

A 32-year-old warehouse worker presents to clinic with complaints of pain in her left foot.  She states that she has been working long hours and wearing improperly fitting shoes.  Recently she noticed that she has a “bone” sticking out on the side of her big toe.  She states that at the end of the day the bulging area is warm and sore.  What is your diagnosis?

A 26-year-old sports store manager comes to clinic, complain…

A 26-year-old sports store manager comes to clinic, complaining of severe right-sided abdominal pain that has increased in intensity over the last 6 hours. He states the pain is worse when he coughs. He began having a stomachache yesterday, with a decreased appetite, but today the pain seems to be just on the lower right side. He has had some nausea and vomiting but no constipation or diarrhea. His last bowel movement was last night and was normal. . On examination he appears ill and is lying on his right side. His temperature is 100.4 and his heart rate is 110. His bowel sounds are decreased and he has rebound and involuntary guarding, one third of the way between the anterior superior iliac spine and the umbilicus in the right lower quadrant. His rectal, inguinal, prostate, penile, and testicular examinations are normal. What is the most likely cause of his pain?

Mrs. M. is a 41-year-old female with a history of diabetes w…

Mrs. M. is a 41-year-old female with a history of diabetes who presents with foot pain and numbness. You initially suspect peripheral neuropathy, but while examining the foot you notice the patient experienced shooting pain to her 3rd and 4th toes when you press on the plantar interspace and squeeze the metatarsals with your other hand. You non suspect which diagnosis