64-Year-Old With Dyspnea and History of COPD

64-Year-Old With Dyspnea and History of COPD

Case presented by Jonathan Giordano, DO A 64-year-old female presents in the urgent care complaining of dyspnea for the past 3 days. After asking a few questions, you learn the woman has a history of chronic obstructive pulmonary disease (COPD). View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page

Read More
51-Year-Old With Asymptomatic Rash

51-Year-Old With Asymptomatic Rash

A 51-year-old man presents to urgent care concerned about an asymptomatic rash that developed over his face within the last month. On examination, pink and violaceous, annular, scaly papules, and plaques were seen on his cheeks and within his beard area and nasolabial folds. The patient appeared well and reported no systemic symptoms. View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the …

Read More
66-Year-Old With Weakness and Dyspnea

66-Year-Old With Weakness and Dyspnea

A 66-year-old male presents in the urgent care, saying “it’s hard to breathe.” He’s had weakness and dyspnea for one day. The patient has a medical history of diabetes, hypertension, and heart failure. The patient has a pacemaker. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page

Read More
46-Year-Old Male With Severe, Worsening Chest Pain

46-Year-Old Male With Severe, Worsening Chest Pain

A 46-year-old man with a history of hypertension presented in an urgent care center saying he’s had chest pain for 2 days. He also said the pain has been worsening each day, and today it is severe. He denies nausea, vomiting, or shortness of breath. On exam, he appears uncomfortable but has normal vital signs. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is …

Read More
8-Year-Old With Facial Lesions

8-Year-Old With Facial Lesions

An 8-year-old-boy presented to urgent care with his father for evaluation of 3 weeks of painless facial lesions. The patient had a history of atopic dermatitis and denies systemic symptoms. On examination, he appeared well.  A cluster of umbilicated papules were seen over his right cheek. View the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

Read More
4-Year-Old With Right-Sided Pelvic Pain

4-Year-Old With Right-Sided Pelvic Pain

On a Friday afternoon, a worried mother brings her 4-year-old daughter to the urgent care. She says the girl is complaining that her “side hurts.” The mother can’t recall any recent falls or injuries. Review the image of the anterior to posterior (AP) pelvis taken upon presentation and consider possible diagnoses and next steps you would recommend to the family.

Read More