Lower Extremity MSK Differential
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 1 September 2021
⏱️ 15 minutes
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Summary
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Jason is an 11-year-old male with a nagging pain on the posterior aspect of both heels. The child is involved in multiple sports that involve frequent running and jumping. The patient has limited dorsiflexion along with pain that is elicited with mediolateral compression of lower 1/3 of the posterior calcaneus. Which of the following pathologies is the MOST likely present?
A. Sinding-Larson Johannson Syndome
B. Sever's Disease
C. Achilles Tendinopathy
D. Plantar Fascitis
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life |
| 0:22.4 | I have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.8 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.2 | For this week's clinical file, we have Jason, and Jason is an 11-year-old male with a nagging pain on the posterior aspect |
| 1:03.2 | of both heels. The child is involved in multiple sports that involve frequent running and jumping. |
| 1:10.5 | The patient has limited |
| 1:12.3 | dorsiflection along with pain that is elicited with medialateral compression of the lower |
| 1:19.7 | one-third of the posterior calcaneus. Which of the following pathologies is the most likely |
| 1:25.6 | present? So we have A. S Larson Johansson syndrome, B, |
| 1:31.7 | Sever's disease, C, Achilles, tendonopathy, and D is planar fasciitis. All right, let's go |
| 1:39.6 | up to the top of this question. I'm back at it again. I'm sorry, it took a break last week and everything. |
| 1:45.5 | Had to get suited up for the October exam that we're moving towards. I'm super excited for those |
| 1:51.5 | of you who are taking it in October. Let's keep absolutely crushing it. And I got this question |
| 1:56.7 | right here because I think it's really important for you to understand the different types of foot |
| 2:02.0 | or I should say lower extremity pathologies that can commonly come up on the MPTE and know how to |
... |
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