Author Question: Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-year ... (Read 111 times)

sdfghj · **on:** Jul 22, 2018

Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-year history of type 1 diabetes with fairly good control on twice-daily insulin.

He denies injury but states that he tripped a few months previous and that his foot is sore when he walks. Physical examination reveals an edematous, erythemic, and warm foot. There is a superficial ulcer on the plantar surface. Which of the following is the most likely diagnosis?

a. Fallen arch
b. Arthritis
c. Charcot joint
d. Sprained ankle

Question 2

Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?

a. Elevated uric acid level
b. Elevated blood urea nitrogen (BUN)
c. Decreased urine pH
d. Decreased C-reactive protein (CRP)