Practice Management
A 12-year-old girl presents to an urgent care center with pain in her right forearm. She reports that the pain started the previous evening when she tripped on a toy left out by her 2-year-old brother. The pain is worse with range of motion. She says she does not have any numbness. She has no other injuries. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreAn 11-year-old boy presents with pain over the right clavicle that developed the previous day while he was playing football and another player fell on him. He has pain with range of motion of the right shoulder as well as with movement of the torso. He has no shortness of breath, chest pain, dizziness, or numbness of the arm. View the image taken (Figure 1) and consider what your diagnosis would be.
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An 8-year-old previously healthy boy with no history of skin disease presents with painful defecation and blood-streaked stools. He says that the perianal area does not itch. Physical examination findings are significant for well-defined perianal erythema and an anal fissure. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreCase A 56-year-old woman presents after a fall onto her outstretched hand. She has pain with range of motion of the wrist. She has no associated numbness or weakness and reports no other injuries. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreCase A 67-year-old man presents with constipation and abdominal pain that has been present for the last 2 days. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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A 29-year-old contact lens wearer presents to the urgent care center with a red eye, eye pain, and visual loss that has been increasing over the past 12 hours. Examination shows an injected conjunctiva with ciliary flush, and a cornea with white infiltrate in the stroma. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreCase A 56-year-old woman presents to an urgent care center with severe ankle pain after stepping off a curb. The physician obtains a radiograph of her ankle. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
Read MoreCase A 17-year-old presents with hard, painless masses on the shin. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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An 18-year-old young woman without a significant past medical history presents after 4 days of a cough productive of yellow sputum. Her mother states that her daughter has felt warm to the touch, but she has not checked her temperature with a thermometer. View the radiograph obtained (Figure 1) and consider what your diagnosis would be.
Read MoreThis feature will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please e-mail the relevant materials and presenting information to [email protected]. Case A 12-year-old presents with severe ankle pain and swelling after twisting an ankle while jumping off a tree limb. View the image taken (Figure 1) and consider what …
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