usmle step 2 cs -right calf pain,

LIQOR PRAAA+ WET SURF
weakness/numb/tingling
exposure to cold
trauma ,tikc's bite,temperature,time of stiffness
stiffness,swelling,standing long hours?
fever,fatigue,foot wear

THEN FR CS PUB SAW ID 
Trauma / Travel recently
Headache
Edema
Nausea & vomit
Fever/chills/night sweats
R ash /Racing of heart
Chest pain /Cough
SOB
Pain in joints
Urinary problem
Bowel problem(abd pain,diarhea,constipation)
Sleep pattern
Appetite
Weight changes
Infection
D izzy
 
PAM HUGS FOSS
PMH
ALLERGY
MEDICATION
HOSPITALIZATION
URINARY CHANGES
GI PROBLEMS
SLEEP PROBLEMS
FAMILY HX
O&G
SEXUAL
SOCIAL--WHARTED
WORK
HOME
ALCOHOL
RECREATIONAL DRUGS
TOBACCO
EXERCISE
DIET





right calf pain DIFFERENTIAL DIAGNOSIS 
1.DVT
2. CELLULITIS
3. RUPTURE OF BAKER'S CYST
4. HEMATOMA
5.RUPTURE OF GASTROCNEMIUS MUSCLE 
6. SPASM/STRAIN

right calf pain DIAGNOSTIC WORKUP 
1. d-dimer
2.doppler U/S-legs
3. hypercoagulabity test
4.CBC with differential
5. wound and blood culture
6. CPK and myoglobin
7.CT/MRI 

Physcial examination for calf pain

• cv/pulmonary exam - inspection,palpation,auscultation, compared pulses (femoral,politeal,dorsalis pedis) on both sides

• joint examination- inspection, palpation, ROM (knee,ankle,hip joint on both sides) 
• extremities - inspection, palpation, checked for homan's sign 
• neurological examination - sensory and motor reflexes (knee,ankles)
•