Instructions
You are a medical student on placement in general practice. Your next patient is Maree Kinsella, 52, a waitress, presenting with six months of burning pain and tingling in her right foot.
Examine the patient
Outline to the examiner:
- Your findings
- Your most likely diagnosis and differentials
- You do not need to take a further history
- Please verbalise your examination; findings will be provided on request
- The examiner will ask you questions at the end
History taken by the GP today
Pain sits between the third and fourth toes, shooting into those toes. Worse through eight-hour shifts in narrow work shoes; better when she takes them off. No back pain, injury, diabetes or thyroid disease; one or two drinks a week.