A 14-Year-Old Wrestler with Shoulder Pain After a Match

A 14-Year-Old Wrestler with Shoulder Pain After a Match

The patient is a 14-year-old boy who reports to urgent care with left shoulder pain after a junior high wrestling match. He is vague about the precise location and possible mechanism of injury but through the physical exam you notice a prominence of the sternoclavicular joint and pain radiating along the clavicle. View the x-ray taken and consider what your diagnosis and next steps would be.

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A 5-Year-Old with Foot Pain of Unknown Origin

A 5-Year-Old with Foot Pain of Unknown Origin

A father brings his 5-year-old son to your urgent care center with a primary complaint of pain in his right foot. There was no report of trauma or injury. Dad has noticed the boy limping for the past few days and he points to the right foot. You note swelling in the midfoot area. The boy’s pain is evident as he walks with a limp and has tenderness in the area of swelling on the …

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A 32-Year-Old Male with Pain After Dropping a 20-Pound Weight on his Finger

A 32-Year-Old Male with Pain After Dropping a 20-Pound Weight on his Finger

The patient is a 32-year-old man who presents with pain over the distal phalanx of the middle finger after dropping a 20-pound weight on his finger while constructing a home gym set-up. The skin is unbroken, but pain is evident upon palpation over the distal phalanx of the middle finger. Neurovascular status is intact.               View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case …

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A 28-Year-Old Boxer with Wrist Pain After a Bout

A 28-Year-Old Boxer with Wrist Pain After a Bout

The patient is a 28-year-old male with right wrist pain after a boxing match. He reports that he felt “a pop” and immediate pain along the ulnar aspect of his wrist after throwing a punch. He has no past medical history and takes no medications.               View the x-ray taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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