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“I wasn’t sure what to do”. If I had a dime for every time I’d heard a patient use those same words, I could retire to my homestead and hang up my stethoscope once and for all. In this case the speaker was a 20 year-old male who looked like he was a couple of dozen pounds underweight. The chart said he was here for redness and swelling of his ankle. This was almost right.
Upon interviewing the patient, he claimed he was in his usual state of health until 4 days prior to his visit when he be…