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Plantar Fascial Fibromatosis создатель Mind Map: Plantar Fascial Fibromatosis

1. NEUROLOGIC

1.1. neuropathies

1.2. tarsal tunnel syndrome

1.3. medial calcaneal

1.4. abductor digiti quinti nerve entrapment

2. SKELETAL

2.1. acute cacaneal fracture

2.2. systemic arthritides

2.3. sever disease

2.4. calcaneal tumor

2.5. stress fracture

3. VINDICATE

4. SOFT TISSUE

4.1. achilles tendonitis

4.2. heel contusion

4.3. posterior tibial tendinitis

4.4. plantar fascia rupture

4.5. retrocalcaneal bursitis

5. POSITIVE KEY FEATURES:

5.1. LK is a 50 yo black male that presents to clinic with complaint of right foot pain. LK states that pain has occurred for 2 months. LK could not recall any prior falls or injuries that precipitated the pain. LK mentioned that he bought new steel toe boots for work 2 months ago that may have something to do with his pain.

6. POSSIBLE DX'S:

6.1. I. Fibromyalgia

6.1.1. affects the soft tissue, not the joints. The cause is unknown, but risk factors include traumatic injury, rheumatoid arthritis and other autoimmune disorders, such as lupus, and genetic factors.

6.1.1.1. #1 matches patient s&s best!

6.2. II. Gout

6.2.1. Form of inflammatory arthritis that develops in some people who have high levels of uric acid in the blood. The acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness, warmth and swelling.

6.2.1.1. possibilty d/t pt's presenting case.

6.3. III. Diabetic foot ulcers

6.3.1. is an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other ulcer-related complication.

6.3.1.1. not likely but an appropriate differential.

6.4. IV. Trauma

6.4.1. an ankle or foot sprain occurs when ligaments in the foot or ankle are torn or partially torn. A foot or ankle fracture happens when a bone in the foot or ankle breaks.

6.4.1.1. possibilty d/t pt's presenting case.

6.5. V. Osteomyelitis

6.5.1. is an infection of the bone, a rare but serious condition. Bones can become infected in a number of ways: Infection in one part of the body may spread through the bloodstream into the bone, or an open fracture or surgery may expose the bone to infection.

6.5.1.1. possibilty d/t pt's presenting case.

7. NEGATIVE KEY FEATURES:

7.1. LK reports that the pain occurs in his right heel and plantar side of right foot. LK states that the pain comes and goes and is currently a 3/10. LK describes it as a deep, throbbing, aggravating pain. LK denies pain shooting up into leg or to toes. Pain increases when LK first begins to walk after sitting but LK reports that the pain goes away after walking on his right foot for a few minutes. LK reports taking Aleve 220mg 2 tablets by mouth as needed for pain in the right foot. LK reports taking the Aleve 3-4 times a week.