guayoman
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(This is not internal medicine. I just need to know what crunching and suffusion are.)
11y/o boy falls from 10ft. 2 days of pain and now notices crunching of the foot. PE: Normal foot except for SUFFUSION of pantar surface. Passive motion elicits pain.
Dx: a. Fracture
b. Stress fracture
c. Tenosynovitis
d. joint dislocation
e. hematoma
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| AAAAA
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Crunching of the foot
A picture is worth a thousand words
Attached Files:
Foot2.jpg (4 KB, 14 downloads)
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| AAAAA
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suf·fu·sion (s-fyzhn)
n.
1. The act of pouring a fluid over the body.
2. The condition of being wet with a fluid.
3. A spreading out of a body fluid from a vessel into the surrounding tissues.
4. The reddening of a surface.
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| AAAAA
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plantar surface of the foot
Attached Files:
Sni_Plantar_01b.jpg (12 KB, 9 downloads)
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| guayoman
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Thanks AAAAA. So crunching is echymosis? and suffusion is edema with a moist surface?
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| Jinx
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crunching mostly seems to me like a subjective feeling of a "crunch"--ie prob friction and movement
suffusion would be edema i think
so id go for fracture esp since there also is h/o trauma
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| goldglory
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y not hematoma?given that he is only 11yo?
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| chemamr
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so what is the Dx? couldn't be an hematoma?
i'm  with this question
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| guayoman
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Dx is fracture untill proven otherwise. That´s what the book said
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