What are 5 differential diagnoses for the following findings: Chief Complaint and HPI: Mr. Lem Ping, a 55 y/o male comes to your office complaining of pain in his right calf that has been present for months but seems to be getting worse. Pain is 7/10. He says that when he runs the pain gets worse and it is relieved when he rests for a few minutes. He has not tried any home treatments. No history of leg injury, recent travel, or periods of prolonged immobility. No extremity weakness, numbness, or tingling. Denies swellings, color changes in his legs, or non-healing sores on the lower extremities. No history of blood clots. Past Medical History · Seasonal allergies · Hypertension Current Meds · Lisinopril 20mg q day. · Claritan 10mg q day Family History · Father – age 80, alive, fair health, HTN and “some kind of neck surgery” at age 50 · Mother – deceased at age 50 related to trauma from MVA · Brother – age 58, alive, fair health, MI age 50, HTN Psychosocial History Smoked 1.5 ppd since age 20 and quit 2 years ago; drinks 2 beers at night and more on weekends; married with 2 children in college; works in an auto parts manufacturing facility. Review of Systems: · General: No fever, chills. Has lost 5 lbs. since he began exercising. · HEENT: Wears glasses with no recent prescription change; no visual changes, diplopia, photophobia, infections. Last eye exam 2 months ago. Seasonal allergies. · CV: See HPI. Denies chest pain, shortness of breath, palpitations, diaphoresis, edema. No history of heart problems. · Respiratory: No SOA; has AM cough with clear sputum; no hematemesis or history of COPD, Asthma, or pneumonia · GI: Good appetite; no nausea, vomiting, diarrhea or constipation; no melena or hematochezia. · GU: No nocturia or dysuria. · Musculoskeletal: See HPI. No joint pain, swelling or redness. No difficulty with movement or ambulation. · Neuro: Denies HA, dizziness, confusion, focal deficit. · Endocrine: Denies polyphagia, polyuria. Denies cold and heat intolerance, weight gain. · Psychiatric: Denies depression or anxiety. Physical Examination · Vital signs: T 97.6, BP 148/88, HR 84, RR 14, BMI 30, O2 sat 96% RA · General: Awake and alert. Cooperative. NAD. · HEENT: PERRLA; EOMs intact, full peripheral vision, sharp disc margins, AV nicking noted bilaterally · Neck: supple. No bruits · CV: RRR without murmurs or extra heart sounds. No JVD. No edema or varicosities, skin pale with brisk cap refill; no hair growth below knees, no calf tenderness to palpation, DP pulses 1+ on right and 2+ on left; PT pulses non-palpable bilaterally · Respiratory: Lungs clear and equal bilaterally. · Abdomen: Soft and nontender. No organomegaly. No bruits or pulsatile masses · Musculoskeletal: Good muscle tone, strength 5/5 X 4 extremities; FROM in all extremities and spine. · Neuro: Ox4; CN II-XII intact. DTRs 2+ bilaterally.
[Answered]: What are 5 differential diagnoses for the…
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