Practice Management
The patient is a 10-year-old boy who experienced a direct blow to the elbow approximately six hours prior to presentation.He had incomplete range of motion with minimal local swelling and considerable pain. View the image and consider what your next steps would be.
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A 26-year-old woman presents to the urgent care center with a bleeding lesion on her finger. The lesion developed in less than a week and was associated with no other symptoms. The patient is on no medications and is otherwise healthy. She reports no prior history of skin disease. View the photo taken and consider what your diagnosis and next steps would be.
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The patient is a 35-year-old Caucasian female who presented with dysphagia and progressively worsening neck pain. No history of injury was reported. Neurovascular exam was normal. View the images taken and consider what your diagnosis and next steps would be.
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This patient presented with a two-hour history of intense pain and redness along the left side of her head and down her left arm. She reported no exposure to unusual foods, plants, or substances, and denied any additional complaints. History and examination reveal no other remarkable findings. View the image taken and consider what your diagnosis and next steps would be.
Read MoreThe patient is a 55-year-old female who experienced a blow to the back when she fell while riding a bus. She complains of pain in her neck, shoulder, and back. On examination, you find that her vitals are stable and she has no significant past medical history. View the x-ray taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. (Hint: this …
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The patient is a 10-month-old child who presents with the parents, upon referral by the pediatrician, with a history of three days of pain but no history of trauma. The child refuses to stand, presumably due to pain, and resists crawling. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 56-year-old man who emigrated from Mexico to Texas two months ago. He first presented about two weeks ago with a dry cough, chest pain, fevers, and night sweats. Chest x-ray showed a focal consolidation. He had received BCG vaccination as a child, so a PPD was not placed. He was started on isoniazid, rifampin, and ethambutol for tuberculosis. Now, he presents complaining of the same symptoms, plus a rash that erupted …
Read MoreThe patient is a 23-year-old male who presents with a complaint of pain in the heel area after slipping down four steps. He is limping but able to bear weight. On exam, you note local tenderness and swelling over the area of the Achilles tendon. Other findings are unremarkable. View the x-ray taken (Figure 1) 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 an 18-year-old male who jumped or fell from a \”short height\” but landed hard on his heel. He is able to ambulate, but cannot put any pressure on his heel. Examination and history reveal nothing remarkable. View the x-ray taken and consider what your diagnosis or next steps would be.
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The patient is a 9-year-old boy who received a blow to the shoulder from a height of approximately 6 ½ feet. He has limited elevation of the arm due to pain. Examination and history reveal no additional factors. View the x-ray taken and consider what your diagnosis or next steps would be.
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