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NPTE Clinical Files | Physical Therapy

Lower Leg Differential Diagnosis

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 18 January 2023

⏱️ 19 minutes

🧾️ Download transcript

Summary

Ryan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted dorsiflexion is strong but reproduces the patient's pain. Which of the following is the MOST likely diagnosis?   

A. Medial Tibial Stress Syndrome 

B. Stress fracture 

C. Acute compartment syndrome 

D. Chronic exertional compartment syndrome

LINKS MENTIONED:     

  • Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.     
  • Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com

Transcript

Click on a timestamp to play from that location

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.

0:55.9

For this week's clinical file, we have Ryan, and Ryan presents with antelateral leg pain and reports progressive

1:02.0

worsening since an increase in his training regimen over the past two weeks. Symptoms appear

1:08.7

in later stages of running and last two to three hours after the run.

1:13.5

The anterior tibialis muscle is tender and taught on palpation. Resisted dorsiflection is strong,

1:21.2

but reproduces the patient's pain. Which of the following is the most likely diagnosis?

1:26.9

So we have A, medial tibial stress syndrome,

1:30.0

B, stress fracture, C, acute compartment syndrome, and D is chronic exertional compartment syndrome.

1:38.8

All right. Let's go up to the top of this question. This is a good one. I always like these types

1:43.3

of questions where you really

1:45.1

have to figure out what is the pathology that is really being presented to you based upon

1:50.2

the signs and symptoms in the question. Definitely be expecting this type of question to show up on

1:55.9

the MPTE. I'm going to teach you how we go through this and arrive at the answer with confidence.

...

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