This 42-year-old patient suffered a blow to the chest and presents with pain but is assumed to be otherwise healthy. View the image taken and consider what your diagnosis and next steps would be.
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Clinical Challenge 2: April 2011
The patient is a 49-year-old woman who presents with a two-day history of chest pain and vomiting. The exam reveals no cause for alarm, and other than the primary complaint the patient is in no remarkable distress. However, you discover that she has had intestinal volvulus twice in the past. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next …
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17-year-old boy experiencing pain from injured knee
The patient is a 17-year-old boy who presents with a ‘twisted” left knee sustained in a fall. He is able to bear weight, though it is obvious he is in pain. View the image taken and consider what your diagnosis and next steps would be.
Read MoreClinical Challenge 2: March 2011
The patient is a 37-year-old woman in her second trimester of pregnancy. She presents a day after experiencing a fall, with impact to her left hip. She is walking, but with a noticeable limp. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More62-year-old experiencing progressive shoulder pain
The patient is a 62-year-old who presents with a primary complaint of right shoulder pain that developed over time. The patient denies any trauma and appears well. The history and examination are unremarkable. View the image taken and consider what your diagnosis and next steps would be.
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42-year-old woman in considerable ankle pain
The patient is a 42-year-old who presents to urgent care after “twisting” her left foot. She is able to bear weight on the foot, though not without evident considerable pain. View the image taken and consider what your diagnosis and next steps would be.
Read MoreClinical Challenge: January, 2011
The patient is a 64-year-old man who presents with pain in his left shoulder after experiencing a fall in which the shoulder took the brunt of the blow. He is otherwise healthy. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge 2: December, 2010
The patient is a 54-year-old woman who presents with a one-day history of abdominal pain and nausea. On exam, you note distended abdomen with diffuse tenderness and rebound. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreAbstracts in Urgent Care: December, 2010
Nahum Kovalski, BSc, MDCM Each month, Dr. Nahum Kovalski reviews a handful of abstracts from, or relevant to, urgent care practices and practitioners. For the full reports, go to the source cited under each title. New Guidelines for Prevention of Stroke in Patients with Stoke or TIA Key point: New, evidence-based recommendations aim at reducing risk of ischemic stroke in patients who have had a stroke or transient ischemic attack. Citation: Furie KL, Kasner SE, …
Read MoreClinical Challenge 2: November, 2010
The patient is a 77-year-old who presents with pain in the left wrist. She reports injuring it in a fall. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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