A 35-year-old male presents to the emergency department for ...

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A 55-year-old male presents with a painless, swollen right foot. He does not recall an offending event. Since the onset, he has experienced difficulty ambulating. On examination, there is extensive swelling and erythema of the right lower extremity. Upon raising of the affected leg the erythema resolves after several minutes. There is a small plantar ulcer with mild seropurulent discharge. His current radiograph is depicted in Figure A. What is the mechanism by which the deformity progresses in this condition?

A 65-year-old female presents to the clinic for an initial evaluation of activity-related right foot pain. She states that she has had insidious onset of pain over the last several years. She has not trialed any form of conservative management. The physician elects to use the orthotic demonstrated in Figure A. Which of the following x-rays in Figures B through F would this type of orthotic be most indicated?

A 72-year-old male was admitted to the internal medicine service one week ago for bacteremia and an infected diabetic foot ulceration. He was stabilized on intravenous fluids and antibiotics followed by ray resection 2 days later. Tissue cultures confirm methicillin-resistant staph aureus (MRSA) and sensitivities will be available tomorrow morning. His CRP has remained marginally elevated for the last 4 days. The patient has a 3-week history of intermittent bilateral radiculopathy in his upper extremities and the primary care team orders a cervical MRI (Figure A). Which of the following is the next best step in management?

A 3-year-old boy has been treated in the past with Ponseti casting now presents with dynamic supination during gait. You're planning to perform an anterior tibialis transfer to the lateral cuneiform. All of the following are true EXCEPT:

A 5-week-old infant was evaluated for a unilateral clubfoot....

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A 54-year-old man is seen by you in the emergency department. He reports a five-day history of leg pain and notes that it has become much more erythematous over the past 12 hours. He endorses a history of diabetes mellitus, with a recent hemoglobin a1c of 8.8. On exam, his foot and distal leg are erythematous, swollen, and warm to the touch. He is insensate in a stocking distribution. He denies any similar symptoms in the past. While elevating the leg to evaluate for any heel ulceration, you note improvement in his erythema. Which of the following is most representative of this patient's expected radiograph?

A 54-year-old man presents to the emergency department. He reports a five-day history of leg pain and notes that it has become much more erythematous over the past 12 hours. He endorses a history of diabetes mellitus, with a recent hemoglobin a1c of 8.8. On exam, his foot and distal leg are erythematous, swollen, and warm to the touch. He is insensate in a stocking distribution. He denies any similar symptoms in the past. While elevating the leg to evaluate for any heel ulceration, you note improvement in his erythema. What findings would you expect to find on this patient's radiographs?

Figure 18a shows the clinical photograph of a 31-year-old ma...

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A 38-year-old female develops pain and pallor in all the dig...

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A 54-year-old male with a history of uncontrolled diabetes complicated by multiple foot ulcers, treated with several total contact casts presents to your clinic for follow-up. He states that since his last cast was taken off nine months ago, he has noticed that his foot has remained in an abnormal position that makes it difficult to bring the affected foot in front of the other foot without dragging his toes. This problem has persisted despite physical therapy and the use of specialized orthotics. Which of the following physical exam findings, if present, would make a gastrocnemius recession most appropriate?

Reverse total shoulder arthroplasty improves kinematics in the rotator cuff deficient joint by what directional change to the center of rotation?

Which of the following is helpful on physical examinat...

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Figure 28 shows an arthroscopic view of a right shoulder in ...

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A 15-year-old male presents to your office complaining of kn...

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Botulinum toxin has demonstrated which of the following outc...

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A 55-year-old man presents with pain in his great toe that b...

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