doc_clotaire
Forum Guru
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A 52-year old man with hypertension and severe hypercholesterolemia comes to the clinic because of a 2-day history of left posterior ankle pain. The pain began during a touch football game and has become progressively worse to the point where he is almost unable to walk. He has never had symptoms like this before. The patient has been prescribed simvastatin, but is noncompliant. He is a moderately obese male with a palpable lump in the posterior left calf with severe pain and erythema of the left posterior ankle. There is normal ability to invert and evert the foot, but the patient is unable to dorsiflex or plantarflex the foot. Physical examination is also significant for xanthelasma. Laboratory studies from 1 month earlier show a total cholesterol level of 250 mg/dL and a low density lipoprotein level of 220 mg/dL. The most appropriate management of this patient is to
A. advise him to begin a cardiac diet and return to the clinic in 1 week
B. advise him to rest and return to the clinic in 1 week
C. perform an ankle plain film to exclude xanthoma
D. schedule him for an urgent cardiology consult
E. schedule him for an urgent orthopedic consult
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The elevator to succes is broke ,you must take the stairs
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| guangyu
Forum Elite
Topics: 29
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E
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| Miradautas Vras
Forum Senior
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Posts: 154
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Tendo achilles rupture
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Man who fights too long against the dragons becomes a dragon himself.
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| farnsworth
Forum Newbie
Topics: 0
Posts: 165
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Refering the patient to an orthopedic surgeon would be too obvious... There has to be a catch.
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| bax
Forum Senior
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,241
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E is the right answer
Achilles tendon rupture is an medical emergency
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The elevator to succes is broke ,you must take the stairs
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