Images Challenge

  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.

Case The patient is a 20-year-old male who presents 2 days after getting hit in the face with an elbow during a pickup basketball game. His chief complaint is lingering nasal pain. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next screen.

The patient is a 90-year-old woman who presents to urgent care with a 2-week history of intermittent lightheadedness. She denies syncope, chest pain, shortness of breath, diaphoresis, or focal neurological symptoms. Upon exam, you find: General: Alert and oriented X 3, sitting fully dressed in a chair Lungs: CTAB Cardiovascular: RRR without murmur, rub, or gallop Abdomen: Soft and NT, no pulsatile mass Ext: No peripheral edema, pulses are 2+ and equal in all extremities …

Case The patient is a 25-year-old man who presents with pain in his shoulder after falling from a ladder while cleaning out the gutters of his grandparents’ home. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. Figure 1.