tag:blogger.com,1999:blog-19305198.post6624918227255733535..comments2024-03-27T03:19:11.216-04:00Comments on Assistant Village Idiot: Advanced DiagnosticsAssistant Village Idiothttp://www.blogger.com/profile/01978011985085795099noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-19305198.post-25879067976873934822008-06-16T20:12:00.000-04:002008-06-16T20:12:00.000-04:00I am assuming the on-call doc was Family Medicine ...I am assuming the on-call doc was Family Medicine or an internist, as it was my PCP's office I was calling.<BR/><BR/>Just a touch twinge-y today, so sprain seems most likely. I'll be doing stupid things again in no time.Assistant Village Idiothttps://www.blogger.com/profile/01978011985085795099noreply@blogger.comtag:blogger.com,1999:blog-19305198.post-64644078047828986402008-06-16T14:27:00.000-04:002008-06-16T14:27:00.000-04:00I have found doctors to be notoriously poor diagno...I have found doctors to be notoriously poor diagnosticians. I don't know why that is, but it generally seems to be the case.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19305198.post-77046327209090331312008-06-16T06:29:00.000-04:002008-06-16T06:29:00.000-04:00This is the strangest consult I've ever given.Ther...This is the strangest consult I've ever given.<BR/><BR/>There were two primary possibilities when you first injured it. Ankle sprain, inversion type, or avulsion fracture of the base of the fifth metatarsal. Both would allow you to resume going up and down the step stool but with some pain, and would be worse the next morning. (Witness Rajon Rondo playing on a mild sprain.)<BR/><BR/>Obviously there are other things that could have happened (differential diagnoses), and gout does make the list, but not very high up. Midfoot sprain, Lisfranc fracture, syndesmosis sprain, ruptured tendon, muscle sprain, etc., depending on where it hurts, where it's tender, and where it bothers you with use and/or stress. BTW, it still could be a fifth MT avulsion if the xrays were ankle films, not foot, and didn't show that area.<BR/><BR/>Generally a physical exam is required to be certain, but if it's one of the two primay possibilities you'll recover with ice, relative rest and protection from further injury, and the occasional ibuprofen.<BR/><BR/>Was "on-call doctor" an orthopod?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19305198.post-7403263106586309902008-06-16T06:17:00.000-04:002008-06-16T06:17:00.000-04:00Maybe you should see if you can get a Purple Heart...Maybe you should see if you can get a Purple Heart, just like <A HREF="http://www.irishjokes.co.uk/jokes/kerryman/index.shtml" REL="nofollow">John F Kerryman.</A> <BR/><BR/>I found it amusing that he got those medals for wounds that were less grievous than some of the injuries I incurred playing pickup football and soccer in my younger years.<BR/><BR/>One would have thought that all the doofuses would have been already screened out of the medical profession, considering how hard it is to get admission to medical school.Anonymousnoreply@blogger.com