Images Challenge

The patient is an 86-year-old man who is driven to urgent care by his daughter. The patient says he has been coughing “for a few days,” but his daughter reports that he has also been experiencing pain in his belly. View the images taken and consider what your diagnosis and next steps would be.

The patient is a 12-year-old boy who presents with a 6-month history of bilateral tibial tuberosity pain with swelling. His father reports that his son complains more about the pain after soccer practice. View the images taken and consider what your diagnosis and next steps would be.     

The patient is a 53-year-old woman who presents with acute pain and swelling in the medial aspect of the knee after experiencing a fall while hiking. View the images taken and consider what your diagnosis and next steps would be.

A 30-year-old woman presented to urgent care complaining of bilateral knee pain. She denies any strenuous activity, falls, or recent illness, but states that she has lived with the pain “for a while.” View the image taken and consider what your diagnosis and next steps would be.

The patient is a 63-year-old woman who presents to the urgent care center with 4 days of dry cough. PMH: Breast cancer distant past. PSH: Mastectomy View the image taken and consider what the diagnosis or next steps might be.

The patient is a 48-year-old woman who has had hip pain since joining her two sons and husband in a backyard touch football game yesterday afternoon. In particular, she describes planting her foot and trying so duck her older son’s grasp. She reports it is especially uncomfortable when driving or sitting at her desk at work. View the images taken and consider what your next steps and a possible diagnosis would be.

The patient is an 11-year-old boy who presents with groin pain following a soccer game yesterday afternoon. View the image taken and consider what your diagnosis and next steps would be.  

  The patient is a 48-year-old woman with acute pain after “rolling” her left foot while dancing in high heels at a wedding reception. She has significant pain while bearing weight. View the images taken and consider what your diagnosis and next steps would be.

The patient is a 58-year-old female with a recently inserted infusion port, presenting with new-onset left shoulder pain. View the images taken and consider your next steps, along with possible diagnoses.  

Figure 1. The patient is a 35-year-old male who presents with a painful, swollen thumb. He stumbled over his daughter’s tricycle in the front yard hours ago, putting his hand out to break his fall. View the image taken and consider your next steps, along with possible diagnoses.