Podiatry and Medical - Set 2

Category - Podiatry Part II

All of the following features support the diagnosis of a ruptured Baker’s (popliteal) cyst rather than a deep venous thrombosis (DVT) except:
  1. Swelling that spares the foot
  2. A “crescent sign”
  3. Rapid diminution of popliteal fullness
  4. Sudden onset calf pain and swelling
Explanation
Answer − D − All of the listed features supports the diagnosis of a ruptured Baker’s (popliteal) cyst rather than a deep venous thrombosis (DVT) except sudden onset calf pain and swelling. Baker’s cysts occur when fluid from a chronic inflammatory arthritis dissects into potential space in the popliteal region. When this collection of fluid ruptures, it can produce pain very similar to that of a DVT.
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