Clinical Challenge: April, 2012

In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of determining conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected]. The patient, a 45-year-old man, presented with vomiting and chest pain. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the …

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5-year-old male exhibits irritability and persistent febrility

5-year-old male exhibits irritability and persistent febrility

The patient was a 5-year-old male. His parents reported that he had been febrile for the past several days (fever between 101°F and 103°F [38.3°C to 49.4°C]) and had become increasingly irritable and ill appearing. Exam revealed bilateral conjunctival injection without exudate, dry red lips and red tongue, and perineal erythema with overlying scale. The patient’s lymph nodes were swollen. View the images taken (Figures 1, 2 and 3) and consider what your diagnosis would …

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Clinical Challenge: March, 2012

In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected] The patient, a 14-year-old male, presented with a twisted ankle and a complaint of difficulty with weight bearing. View the image taken (Figure 1) and consider what …

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Clinical Challenge: December, 2011

In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected]. The patient, an otherwise healthy 2-year-old, had a history of playing with button batteries and then started crying with discomfort on the left side of the nose. …

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