|History and Physical and Labs|
CC: Pain and swelling of plantar lateral aspect of left foot
HPI: LR is a 72 year-old women who reports exquisite tenderness and edema on the plantar lateral aspect of the left foot. This pain radiates up posterior to the left fibula.
PMH: LR is being treated for high cholesterol, hypertension, and hypothyroidism and generalized osteoarthritis. She was initially seen in this office on June 4, 2001 with a painful plantar aspect of her right heal. She was treated for bursitis and plantar fasciitis with a corticosteroid injection into the plantar fascia on the right foot and was prescribed physical therapy and had orthotic devices prescribed for her. X-rays revealed a moderately high arched foot , some localized osteoarthritis, large heel spurs present plantarly, and presents with a rather large os peroneum in the peroneal groove of the left cuboid (an os peroneum is a sesamoid bone that is commonly observed in some tendons of the foot, especially the peroneus longus tendon).
PSH: LR had a colectomy in 2000 and an appendectomy in 2000.
MEDS: Lipitor, Norvasc, Synthroid, Fosamax, Aleve, Inderal