Our next patient is a 42 year old male came to you with complaints of foot pain

Test Case:
Your next patient is a 42 year old male came to you with complaints of foot pain.
The pain started yesterday on his right foot while he was gardening at home. He
did not injure his foot recently by any activity. He was wearing gardening boots
while working and there is no history of cut injury. His general health is good, he is
non diabetic and has no history of asthma. He has hypertension and his condition is
well controlled by Hydrochlorthiazide 1 time at night daily. He drinks alcohol 2SD 4
days a week but has history of binge drinking on some weekends.He doesnot smoke.
He doesnot have any other joint pain or swelling in any part of his body. This is the
first time that he is having this problem.
On examination of this patient you found
pulse: 104/min
BP: 130/84 mmhg
Temp: normal
BMI: 26
RR: 18 breaths/min
Your task is to

  1. Ask for physical examination findings from the examiner.( the examiner will only
    give the findings you asked for)
  2. Explain the possible condition to the patient.
  3. Explain the possible causes behind this condition to the patient.
  4. Give the immediate management to the patient.
  5. Arrange necessary investigations that you would like to order.
    ( You are not allowed to take any further history from the patient at this station)