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.
86-Year-Old With Palpitations
Figure 1. Initial ECGCase presented by Catherine Reynolds, MD, McGovern Medical School at UTHealth Houston …
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28-Year-Old Male With Suspected Shoulder Dislocation
Image 1. A 28-year-old male with history of left shoulder dislocations presents to urgent care with severe left shoulder pain. He reports an inability to move the arm after injuring his shoulder while taking off his shirt. He reports feeling the shoulder “shift out of place” during the movement. On examination, the patient is in significant discomfort. He is holding the left arm in slight abduction with left shoulder external rotation. His elbow is flexed and his forearm is pronated. There is no obvious left upper extremity deformity. The left …
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12-Year-Old Boy With Left Groin and Buttock Pain
A 12-year-old male presents to urgent care with his mother for left groin and buttock pain since acute onset while running in a track meet earlier today. He reports that he felt a pop while running a sprint race and was subsequently unable to finish the race or bear weight on his left leg due to pain. He has no other past medical history and takes no medications. Physical exam reveals that he is afebrile with normal vital signs besides an elevated heart rate at 108 bpm. He is visibly …
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39-Year-Old Male With Itchy Rash to Chest
A 39-year-old male presents to the local urgent care reporting an intensely itchy rash for the past 3 weeks that is getting gradually worse. The patient has a history of HIV infection, denies any recent travel or trauma, and is not taking any medications. Physical exam shows he is afebrile with normal vital signs. He has diffuse papular lesions to the trunk and arms ranging from pink to dark brown in color, some with notable excoriation. Laboratory examination shows mild leukocytosis and eosinophilia with a CD4 count of 210 cells/mm3 …
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42-Year-Old With Altered Mental Status
Figure 1. Initial EGC Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine. The family of a 42-year-old male brings the patient to urgent care for altered mental status believing that they had arrived at an emergency department. His family found him on the floor at home with a non-functioning heater on a very cold day. He is bradycardic and ill-appearing. An ECG is obtained …
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