Challenge your diagnostic acumen: Study the following x-ray images, electrocardiograms, and photographs and consider what your diagnosis might be in each case. While the images presented here are authentic, the patient cases are hypothetical.
48-Year-Old With Foot Pain After Hiking
A 48-year-old man presents to urgent care complaining of pain in his right foot after hiking last weekend on a rough trail. He denies any trauma or specific injury. Review the images below and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page …
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42-Year-Old With Stinging Sensation
A 42-year-old woman presented to urgent care early in the morning saying that she felt a stinging sensation on her arm while she was cleaning her basement the previous day. She thinks it might be a bite but didn’t see anything. She had subsequent marked pain at the site and over the past few hours developed nausea and muscle aches. On physical examination, the patient had a temperature of 101.3°F (38.5°C). There were reddish-brown reticulate patches with intervening pallor and a rim of erythema on the posterior arm. View the …
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57-Year-Old With Progressive Dyspnea
Figure 1. The ECG, Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine. A 57-year-old man presents to urgent care with progressive dyspnea for 1 month. The patient has a history of unmanaged hypertension. 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 …
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38-Year-Old With Pelvic Pain After a Fall
A 38-year-old man present to urgent care complaining of pain around his entire pelvis after a fall on a slippery floor at home. Imaging is obtained. Review the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page. Figure 1. Acknowledgment: Images and case provided by Experity Teleradiology (www.experityhealth.com/teleradiology) …
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21-Year-Old With Heel Lesion
A 21-year-old man presents to urgent care concerned about a painless blackish lesion that had developed on his left heel. On examination, a stippled, deeply violaceous, blackish patch with overlying scale was seen on his plantar heel. He had no history of dermatological disease but mentioned he played in a basketball tournament last week. View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page. Figure 1 …
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