Images Challenge

The patient is a 45-year-old man who presents as your first patient of the day, with thumb pain after taking a fall in the middle of the night. He tripped walking to the bathroom and tried to catch himself on the doorknob as he went down. His pain worsens with movement or when he tries to grip anything.             View the image taken and consider what your diagnosis and next steps would be.

The patient is a 28-year-old female who presents with foot pain after experiencing a fall of 10 feet while rock climbing. On exam, you find midfoot dorsal and plantar tenderness, as well as bruising across the top of the foot. Review the image taken and consider what your diagnosis and next steps would be.

The patient is a 10-year-old boy who presents after twisting his right knee while playing a backyard game of badminton. The pain is such that he is unable to bear weight on the leg. 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.

The patient is a 9-year-old girl who is brought to your urgent care center by her parents after falling down the stairs at home. She complains of pain in her left hip, severe enough that she refuses to bear weight. You order imaging of her pelvis, as well as the hip. View the image taken and consider what your diagnosis and next steps would be.

The patient is a 47-year-old male who presents to urgent care with a painful, swollen right knee after crashing into a tree while trail biking through the woods. He is unable to bear weight on the leg due to the discomfort. View the x-ray and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.

The patient is a 40-year-old man who presents with cough and fever. Living and working in New York City as cases of COVID-19 were on a steep incline, he acknowledges multiple exposures to individuals who could have been infected with the virus. Similarly, he reports that a close friend had the flu recently. View the x-ray and consider what your diagnosis and next steps would be.

The patient is a 38-year-old man who presents with an exacerbation of chronic shoulder pain. He can’t recall when the pain initially started, but reports that it began to get worse after he played tennis for the first time this season, about a week ago. View the image taken and consider your next steps, along with possible diagnoses.

The patient is a 90-year-old man who has been driven to your urgent care center by his granddaughter after falling in his home. He complains of pain in his left shoulder, which he says took the brunt of the impact. View the image taken and consider what your next steps and diagnosis would be.