Practice Management
The patient is a 17-year-old female who presents with neck pain a day after attending a rock concert. She denies cigarette smoking, vaping, use of illicit substances, or physical trauma. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A father brings his 5-year-old son to your urgent care center with a primary complaint of pain in his right foot. There was no report of trauma or injury. Dad has noticed the boy limping for the past few days and he points to the right foot. You note swelling in the midfoot area. The boy’s pain is evident as he walks with a limp and has tenderness in the area of swelling on the …
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The patient is a 34-year-old male who presents with bilateral ocular pain and burning. He is noted to have excessive tearing and continuous eye rubbing. He comments that his eyes itch persistently and that both eyes feel as if there is something in them. Scaly plaques and crust are visible along the top and bottom eyelid. View the picture taken and consider what your diagnosis and next steps would be. Resolution of the case is …
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A 38-year-old female with no past medical history presents to an urgent care with right upper quadrant abdominal pain and chest tightness, worsening for 1 week. She reports that her chest tightness is associated with shortness of breath, and is worse when walking and lying on her side. She denies fever, cough, dysuria, headache, or weakness. View the ECG and consider what your diagnosis and next steps would be. (Case presented by Catherine Reynolds, MD, …
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The patient is a 24-year-old male who reports to urgent care with right ankle pain after falling from a ladder while cleaning out the gutters at his parents’ home. He reports that he was only a few rungs up but that he landed “awkwardly” and immediately felt a sharp pain on the front of the ankle. He is unable to bear weight but denies any numbness or tingling. View the x-ray taken and consider what …
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The patient is a 32-year-old man who presents with pain over the distal phalanx of the middle finger after dropping a 20-pound weight on his finger while constructing a home gym set-up. The skin is unbroken, but pain is evident upon palpation over the distal phalanx of the middle finger. Neurovascular status is intact. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case …
Read MoreHistory: A 67-year-old female presents to urgent care complaining of one episode of syncope earlier in the day. No seizure-like activity was noted by the family and she returned to baseline within a minute. She has a past medical history of end-stage renal disease on scheduled hemodialysis, hypertension, diabetes, coronary artery disease, and chronic nausea. Medications include aspirin, insulin, amlodipine, hydralazine, ondansetron, metoclopramide, and amiodarone. View the ECG taken and consider what your diagnosis …
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The patient is a 36-year-old man who presents with wrist pain after “hitting it on something.” Further history reveals that he punched a wall in a fit of anger and felt sharp pain immediately. He has no past medical history and takes no medications. View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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The patient is a 28-year-old male with right wrist pain after a boxing match. He reports that he felt “a pop” and immediate pain along the ulnar aspect of his wrist after throwing a punch. He has no past medical history and takes no medications. View the x-ray taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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The patient is a 46-year-old female who presents with a painful, erythematous, indurated plaque on her lower leg. She reports that it developed over the past month. At first she attributed the pain to “a bump” of unknown origin, but as the area of red skin expanded she became concerned that she became concerned, as she reports a history of deep-vein thrombosis. View the image taken and consider what your diagnosis and next steps …
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