The Anatomy of a Question
A healthy 47-year-old woman presents to the clinic for evaluation of foot pain. She reports pain on the bottom of her feet that worsens with walking and weight-bearing activities. She reports no known injury or changes in activity. She works as a nurse on a medical floor. She reports this pain has been ongoing for approximately 3 to 4 weeks. Exam of the affected foot revealed point tenderness with palpation. Tenderness is also reproducible with dorsiflexion of the affected foot. Which of the following is the most likely diagnosis?
Answer choice options
- A. Bursitis
- B. Neuropathy
- C. Plantar fasciitis
- D. Stress fracture
The incorrect options (distractors) are not totally wrong. These options can be diagramed as follows:
C.Plantar fasciitis Pain will be aggravated by walking and weight-bearing activities and relieved with rest.
D.Stress fracture Similar presentation but associated with an increase in physical activity
A.Bursitis May cause foot pain but associated with erythema and swelling.
B.Neuropathy Chronic in nature and often due to diabetes and associated with sensory deficits.
The Anatomy of an Explanation
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