Her parents still live in New York, as does her youngest sister. The other siblings live in Worcester. On exam, Maria is a ruddy appearing female in no apparent distress. Her left foot demonstrates moderate edema at the lateral aspect of the superior midfoot. This region shows mild ecchymosis, and diffuse tenderness upon palpation about the area.
Bounding pulse is palpated at the dorsalis pedis.
There is no point tenderness over the lateral or medial maleoli, over the 5th metatarsal or navicular region. The great toe has full passive and active range of motion. Sensation is intact at the digits as well. Click here to begin the exercise.