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NPTE Clinical Files | Physical Therapy

Pediatric Lower Extremity Evaluation

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 26 June 2024

⏱️ 14 minutes

🧾️ Download transcript

Summary

Matt, a 17-year-old athlete, experiences chronic muscle weakness, foot deformities (high arches and hammer toes), and sensory deficits in his legs and feet. These symptoms have been progressively worsening over the past few years, without any associated swelling or inflammation. Which condition is MOST likely present?

A) Osteomyelitis

B) Juvenile rheumatoid arthritis

C) Sever's disease

D) Hereditary Motor & Sensory Neuropathy (HMSN)

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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

0:21.9

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast

0:33.0

to give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.6

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love, you're in the right place.

0:53.3

Enjoy the show.

0:56.1

For this week's clinical file, we have Matt, and Matt is a 17-year-old athlete who experiences chronic muscle weakness,

1:03.3

foot deformities, such as high arches and hammer toes, and sensory deficits in his

1:09.1

legs and feet. These symptoms have progressively worsened over the past

1:13.4

few years without any associated swelling or inflammation, which condition is the most likely

1:18.9

present? So we have A, osteomyelitis, B, juvenile rheumatoid arthritis, C, Sever's Disease,

1:25.7

and D is hereditary motor and sensory neuropathy or HMSN.

1:31.4

All right. Let's go up to the top of this question, y'all. I am so excited about this one right here.

1:37.8

Your boy loves eval questions. I mean, I really love eval questions. I love to differentially

1:44.1

diagnosed. Look at all the signs and symptoms, and here's the big thing.

1:47.4

This is a big area on the MPTE for my physical therapist listening. So we want to be able to pick out the major signs and symptoms and arrive at that final confident answer, okay? And so what we're going to do, we're going to break down

2:01.8

this question like we do every single week, and then we're going to arrive at that final

2:06.4

answer with confidence, all right? We've got to trust in our judgment. Does that sound good?

2:11.1

Cool, cool. And actually, before we jump into this question, I'm telling you right now,

...

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