Forefoot / Midfoot · Trauma · Infection & Wound · Standard
Loud Bang
Podiatric surgery residency interview case. Work through it the way you would at an interview: take the history, ask for the exam and imaging, then commit to a diagnosis and plan.
Chief complaint
"I got shot in the foot."
Adult male evaluated by podiatry on consult from the ED / trauma service.
History of present illness
Sustained a shotgun wound to the left foot at close range several days ago; underwent initial irrigation and debridement by the trauma team and podiatry was consulted for wound management.
- Pain 6/10 at the wound
- No numbness reported
- Able to move all toes
- No fever or chills since admission
- Tetanus given in the ED
Questions a strong candidate asks at this step
- Weapon type (low vs high velocity; shotgun range), time of injury
- Entry/exit, other wounds; ATLS clearance
- Numbness, weakness, coldness (nerve/vessel injury)
- Fever, chills, drainage
- Tetanus status, NPO status
Present the rest of the case
Past history, exam, imaging, assessment, plan and discussion questions, with model answers, are in the interactive trainer. The diagnosis is kept there on purpose so you can practice committing to one.