<prompt> An army recruit, smoker and 6 months into training started complaining of pain at posteromedial aspect of both legs. There was acute point tenderness and the pain was aggravated on physical activity. The most likely diagnosis is:Buergers diseaseGoutLumbar canal stenosisStress fracture  <response>: d Gout- The hallmark physical finding is focal bone pain tenderness with palpation and stress. Also bilateral goes in favor of stress fracture. 