I have a bit of an interest (unfortunately currently an armchair interest, but will one day rectify that again) in wilderness and environmental medicine. So, occasionally a vignette will sneak on here from that arena. That is not to say that you couldn’t see a case like this in your local CBD, but most likely in an urban context it would present in some sort of night stalking denizen of the deep. Or perhaps a gent with Diogenes syndrome.
I’d like to thank Andrew Peacock for this case – he is a great photographer, in addition to being an adventure and wilderness medic. Do check out his superb images at http://footloosefotography.com and http://footloosefotography.tumblr.com/
So, on to the case – I’m going to ask it a bit like an ACEM VAQ with a twist. Not too hard, but a classic diagnosis. Answers in the comments please! Prize – merely the adulation of me and my readers (as yet a select and privileged group)
a) A 50 year old man presents to you after completing the Kokoda track with an extremely painful foot. Describe and interpret the images. (70%)
b) Outline your management (20%)
c) For the bonus 10%, write a succinct and creative history of the condition (10%)