Danays Ramirez Norman
Miami Regional University
Date of Encounter:10/21/2022
Preceptor/Clinical Site:/Mabel A Perez/Pedro Croig.
Clinical Instructor: Dr. Rachel Martinez
Cases Studies Discussion.
#1 THE CASE
#1 THE CASE
A 50-year-old man presented to the primary care office for evaluation of foot pain. The day
before, his left fifth toe had become exquisitely tender. He distinctly remembered that when
he awoke, there was no discoloration or pain, but the toe later became 5rple. e denied
any trauma. His medical record was notable for an extensive smoking history and a family
history of early cardiovascular disease.
The patient appeared well but in obvious distress, secondary to the pain. His vital signs
were unremarkable. His head, neck, lung, and cardiac exams revealed no abnormalities.
Phys[1]ical examination revealed a left fifth toe that was dusky purple and warm to the touch. Pain
disproportionate to examination was noted on the anterior aspect of the toe, with limited
range of motion. The patient walked with a compensated gait. Pulses were palpable on the
posterior tibial (PT) and dorsalis pedis (DP) regions.
1- Whats is the Primary Diagnosis in this case.
2- Explain why determine the diagnosis. ( Signs, symptoms, conduct to follow up, medications)
3- Differential Diagnosis.
4- References.

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