A 50 year old male presents to the ER complaining of severe pain in his left toe

Question

A 50 year old male presents to the ER complaining of severe pain in his left toe. The pain was sudden in onset and he describes the pain as sharp and non radiating. He is having difficulty bearing weight on his foot. His past medical history is significant for essential hypertension which is well controlled with an Ace inhibitor. Examination is significant for an inflamed first metatarsal phalangeal joint. In passing, he states that he enjoys a good meal, like to dine on game of meat, and," I have to have my 20 ounce steak at least twice a week."
1) what is the term used to describe the condition?
2)which serum value would you obtain?
3)what is the pathogenesis os this disease?
4)how is this condition diagnosed?
5)what pharmacological agents are used to treat this condition? (Hint:there are four.) Which agent is used during an acute attack? What is the mechanism of action for each of the drugs listed?

Explanation / Answer

1)Metatarsaliga

2)The clarisonic pedi-boost peel serum

3)the extensor tendon crosses and held over the MTP joint by an aponeurotic band band of fibrous disease.

4)the first step is to determine the cause of the pain. Unloading pressure to the ball of the foot usually a feature. Proper foot wear should be used.

5)there are two. Corticosteroids, analgesic

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