Red Whale Primary Care Pod I've got a pain in my foot... and these mouth ulcers won't clear up...
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Mar 21, 2025 Join the hosts as they tackle the complexities of forefoot pain and the confidence challenges it brings to consultations. Discover key conditions like hallux valgus and Morton's neuroma, along with essential diagnostic tips and referral pathways. The discussion shifts to the rare Behçet's syndrome, shedding light on its symptoms and the critical role of primary care in its management. Plus, there's a bit of humor to lighten the mood, along with valuable mental health support resources for healthcare professionals.
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Key History for Forefoot Pain
- Ask about the location of forefoot pain, including specific areas like the big toe or lateral forefoot.
- Inquire about the nature of the pain, trauma, onset, and any relevant medical history.
Referral Considerations
- Consider osteomyelitis if ulceration is present and have a low threshold for foot clinic referrals, especially for diabetic patients.
- Be aware of patients with peripheral vascular disease, diabetes, or neuropathy, as they may present late.
Hallux Valgus Insights
- Hallux valgus, or bunion, is a progressive lateral deviation of the big toe.
- It's more common in females, has a familial link, and is exacerbated by narrow shoes.