Images Challenge

A 21-year-old male presents to your urgent care center complaining of back pain after falling from a ladder. He is unclear about the exact point of impact, but the pain increases with attempts to bend or twist. Examination reveals he has decreased range of motion. View the image taken (Figure 1) and consider your next steps, along with possible diagnoses.Read More
A 16-year-old presents with an irregular patch of skin on his chest, reporting that it has become increasingly hyperpigmented over the past year. He also says the same area has had in increase in hair growth in recent months View the image taken (Figure 1) and consider what your diagnosis would be.Read More
Parents bring their 2-year-old boy to an urgent care center after noticing that his right pupil looks white, and that the eye is excessively teary and looks bloodshot. They report that they boy has also complained that it hurts on occasion.   View the image taken (Figure 1) and consider what your diagnosis would beRead More

Posted On December 20, 2016 By In Images Challenge

A Pregnant Woman with Skin Lesions

A 30-year-old woman in her second trimester of pregnancy complained of multiple skin lesions that occurred in wheal patterns whenever she pressed firmly on her skin. Sometimes her skin would itch, causing her to apply pressure or rub and produce the wheal. Upon exam, the doctor could see a linear configuration on her arms from scratching and geometric configurations on her back, produced by her clothing View the image taken (Figure 1) and consider what your diagnosis would be.Read More

Posted On November 29, 2016 By In Images Challenge

Hyperpigmented Skin Patches

A 70-year-old man presents to an urgent care center after becoming concerned about brown hyperpigmented patches on his legs and arms. He says that he thinks some of his teeth are turning gray, but it has been happening so slowly that he is not sure. He reports that he has been in good health recently, especially after starting to take antibiotics last year to treat his rheumatoid arthritis. View the image taken (Figure 1) and consider what your diagnosis would be.Read More
A 57-year-old man climbs a tree in his yard to trim branches, and then falls to the ground and onto his shoulder. In presenting to his local urgent care center, he reports that he has pain over his right shoulder and scapula area that is sharp and worsens when he moves through the range of motion. He says that he took 600 mg of ibuprofen after he was injured but that his pain did not decrease. He reports that he has no head injury, head or neck pain, elbow orRead More
A 35-year-old woman presents to an urgent care center with severe right wrist pain after a fall onto her outstretched hand after tripping on the sidewalk. She has significant pain throughout the range of motion as well as at rest. She has minimal numbness of the fingers. She has no other visible injuries, and on questioning, she reports that she has no elbow, shoulder, head, or neck pain. View the image taken (Figure 1) and consider what your diagnosis would be.Read More
A 56-year-old woman with a past medical history of hypertension presents to an urgent care center 1 hour after she injured her ankle while stepping off a curb. She believes that the ankle “twisted inward” but is not sure. She reports sharp, severe, constant pain throughout the joint and that worsens when she attempts to move the ankle through the range of motion. There is no numbness of the foot or ankle, no pain at the proximal tibia or fibula, and no foot pain. There are no other injuries, andRead More