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This patient presents after a soft tissue injury to the toe. Considered, but doubt, acute fracture including open fracture. Low index of suspicion for a dislocation or Lisfranc injury. Doubt other acute causes of toe pain at this time.

Plan: plain films, pain control, reassess, likely discharge with podiatry/orthopedics followup, WBAT 

from natedotphrase.com

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