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.
42-Year-Old Soccer Player With Knee Injury
A 42-year-old man presents to urgent care with knee pain. He says the pain started when he was playing soccer, just as he kicked a ball toward the goal. Ultimately, he had to leave the game because of the pain. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page …
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38-Year-Old With Rash After Heating Pad Use
A 38-year-old woman presented to urgent care for rash that had developed on her trunk 2 months prior. On examination, extensive hyperpigmented, reticulated patches were seen on her back. She had no recent history of sunburn, extensive sun exposure, or history of dermatological conditions. Additional history revealed the use of a heating pad for the preceding 3 months to help manage her chronic back pain. She often rested on the electric heating pad for several hours and sometimes fell asleep with the heating pad on.  View the image above and …
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55-Year-Old Male With Dyspnea
A 55-year-old male with a history of heart failure presents to the urgent care with dyspnea. 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. Figure 1: Initial ECGCase presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine …
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53-Year-Old Female With Fatigue
A 53-year-old female with no significant past medical history presents to the urgent care with progressive fatigue for several weeks. 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. Figure 1: Initial ECGCase presented by Catherine Reynolds, MD, McGovern Medical School at UTHealth Houston …
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12-Year-Old With Facial Trauma
A 12- year-old male presents to urgent care with his mother complaining of facial pain. The patient experienced a trip-and-fall accident at home. He landed on a carpeted floor and now complains of facial pain. View the image taken (occipitomental/Waters view) and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page. Figure 1. X-ray …
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