Aquifer Family Medicine 07 53-
year-old male with leg swelling
Questions with Explanations of
Answers 2026 Latest Update
Family Medicine 07: 53-year-old male
with leg swelling
PATIENT DASHBOARD
PATIENT DASHBOARD
Patient Name: Mr. Harold Smith
• Age: 53
• Sex assigned at birth: male
• Gender identity: male
• Pronouns: he/him/his
INTRODUCTION
HISTORY
The waiting room at the family clinic
You are working at a family medicine clinic with Dr. Hill. She tells you, "The
next patient, Mr. Harold Smith, is a 53-year-old male with a chief concern of
swelling and pain in his left lower extremity."
Before you go to see Mr. Smith, a quick review of the chart reveals that he
has type 2 diabetes, obesity, hypertension, and hyperlipidemia. You note
that he has not been to the office in the past six months, and it appears that
he should be out of all of his medications.
When you enter the examination room, Mr. Smith, a middle-aged male,
greets you from where he is sitting. You introduce yourself and ask him what
brings him to the office today.
He replies, "It's my left leg. The past four days it has been red, swollen, and
,painful—and it seems to be getting worse."
You ask him to tell you more about this problem.
,He says, "It began several days ago, and the swelling seems to be getting
worse. It hurts all the time; it doesn't even get better when I rest it. It seems
to get a little worse when I move around. It hurts to walk as soon as I try to
stand on it."
REASON FOR VISIT
HISTORY
You meet Mr. Smith and interview him about his leg problem.
Now that you have a general sense of Mr. Smith's issue, you ask more
focused questions.
"Did you do anything to injure your foot?"
He replies, "I do not remember any injury, but there has been this sore on
the bottom of my foot for several months. There's nothing draining out of
the sore and it doesn't hurt, although my foot doesn't have much feeling in
it."
"Before this happened, were you sitting down for a long time
without getting up and using your legs, such as taking a long
airplane trip; or have you been on bed rest?"
"I wish I could go somewhere on an airplane and get a good vacation, but I
can't afford anything like that. I haven't been on bed rest. I've been pretty
busy lately."
"When was the last time you were in the office?"
"It has been a long time now because my daughter and new baby recently
moved in with me and I have been trying to take care of the baby as well as
keep my job as a bus driver," he explains.
"Have you been taking your medication?"
He replies, "I have been out of my medication for several weeks now."
After talking with Mr. Smith more, you discover:
Social History: Does not drink alcohol, but does smoke 1.5 packs of
cigarettes daily, he is unmarried, and lives in public housing with his three
children and one grandchild.
, Review of Systems: No fever or chills, no chest pain, no shortness of
breath, and no swelling of the right leg.
CONTINUE
Social History: Does not drink alcohol, but does smoke 1.5 packs of
cigarettes daily, he is unmarried, and lives in public housing with his three
children and one grandchild.
Review of Systems: No fever or chills, no chest pain, no shortness of
breath, and no swelling of the right leg.
PHYSICAL EXAM 1
PHYSICAL EXAM
You measure the diameter of Mr. Smith's leg.
You examine Mr. Smith and find:
Vital Signs: T 36.5 °C (97.8 °F), BP 140/90, HR 85, RR 12, O2 98%
year-old male with leg swelling
Questions with Explanations of
Answers 2026 Latest Update
Family Medicine 07: 53-year-old male
with leg swelling
PATIENT DASHBOARD
PATIENT DASHBOARD
Patient Name: Mr. Harold Smith
• Age: 53
• Sex assigned at birth: male
• Gender identity: male
• Pronouns: he/him/his
INTRODUCTION
HISTORY
The waiting room at the family clinic
You are working at a family medicine clinic with Dr. Hill. She tells you, "The
next patient, Mr. Harold Smith, is a 53-year-old male with a chief concern of
swelling and pain in his left lower extremity."
Before you go to see Mr. Smith, a quick review of the chart reveals that he
has type 2 diabetes, obesity, hypertension, and hyperlipidemia. You note
that he has not been to the office in the past six months, and it appears that
he should be out of all of his medications.
When you enter the examination room, Mr. Smith, a middle-aged male,
greets you from where he is sitting. You introduce yourself and ask him what
brings him to the office today.
He replies, "It's my left leg. The past four days it has been red, swollen, and
,painful—and it seems to be getting worse."
You ask him to tell you more about this problem.
,He says, "It began several days ago, and the swelling seems to be getting
worse. It hurts all the time; it doesn't even get better when I rest it. It seems
to get a little worse when I move around. It hurts to walk as soon as I try to
stand on it."
REASON FOR VISIT
HISTORY
You meet Mr. Smith and interview him about his leg problem.
Now that you have a general sense of Mr. Smith's issue, you ask more
focused questions.
"Did you do anything to injure your foot?"
He replies, "I do not remember any injury, but there has been this sore on
the bottom of my foot for several months. There's nothing draining out of
the sore and it doesn't hurt, although my foot doesn't have much feeling in
it."
"Before this happened, were you sitting down for a long time
without getting up and using your legs, such as taking a long
airplane trip; or have you been on bed rest?"
"I wish I could go somewhere on an airplane and get a good vacation, but I
can't afford anything like that. I haven't been on bed rest. I've been pretty
busy lately."
"When was the last time you were in the office?"
"It has been a long time now because my daughter and new baby recently
moved in with me and I have been trying to take care of the baby as well as
keep my job as a bus driver," he explains.
"Have you been taking your medication?"
He replies, "I have been out of my medication for several weeks now."
After talking with Mr. Smith more, you discover:
Social History: Does not drink alcohol, but does smoke 1.5 packs of
cigarettes daily, he is unmarried, and lives in public housing with his three
children and one grandchild.
, Review of Systems: No fever or chills, no chest pain, no shortness of
breath, and no swelling of the right leg.
CONTINUE
Social History: Does not drink alcohol, but does smoke 1.5 packs of
cigarettes daily, he is unmarried, and lives in public housing with his three
children and one grandchild.
Review of Systems: No fever or chills, no chest pain, no shortness of
breath, and no swelling of the right leg.
PHYSICAL EXAM 1
PHYSICAL EXAM
You measure the diameter of Mr. Smith's leg.
You examine Mr. Smith and find:
Vital Signs: T 36.5 °C (97.8 °F), BP 140/90, HR 85, RR 12, O2 98%
