Images Challenge

A 12-year-old boy is brought to your urgent care center by his mother. She reports that while playing dodgeball after school, he felt a “pop” in his groin, followed immediately by pain. Having seen him walk across the exam room, it’s clear the effort causes discomfort.   View the images taken and consider what your diagnosis and next steps would be.  

The patient is a 61-year-old male who presents with a cough. His wife, who is with him, reports that it’s been present “for some time,” though she’s hesitant to quantify that. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.  

The patient is a 19-year-old male who reported experiencing sudden intense ankle pain after getting his skates tangled on the ice while playing hockey. View the images taken and consider what your diagnosis and next steps would be.

A 27-year-old man presents with pain and swelling along the ulnar aspect of his left hand. Asked when the symptoms began, he reluctantly reports that he punched a wall earlier in the day. View the image taken and consider what your diagnosis and next steps would be.  

The patient is a 47-year-old man with chronic wrist pain. He denies any recent trauma, but reports the pain has gotten worse over the past several days. He is unable to pinpoint exactly how long ago he first noticed the pain. View the image taken and consider what your diagnosis and next steps would be.

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.