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Case Review #1
HPI: This is a case of a 72 year old male who presented for evaluation of a painful right first MPJ. This had been present for four years and has progressively worsened over time. He had a first MPJ implant arthroplasty performed from a different provider 4 years ago. His pain is located at the dorsal first MPJ and is described as aching in nature. His VAS is rated as a 7/10. His pain is aggravated with ROM of the first MPJ and with pressure over the dorsal first MPJ forcing him to wear shoes with a deeper and wider toe box.
PMHX: DM 2; HTN; Tuberculosis and Malaria
MEDs: Atorvastatin; Lisinopril; Metformin; Insulin; Hydrocholorothiazide
SURGHX: Coronary Artery Stent; Right first mpj implant arthroplasty 4 years ago
SOHX: Lives at home with wife and is currently retired. Denies current or previous tobacco use. Does not drink alcohol.