Practice Management
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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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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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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The patient is a 35-year-old male who presents to urgent care with acute pain in his left shoulder after falling during a bicycle ride. Pain is worse with movements, but he is able to range the shoulder somewhat. You observe bruising and swelling at the impact site. View the images taken and consider what your diagnosis and next steps would be.
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The patient is a 43-year-old man who presents with a cough and a general complaint of “body aches” that began “a few weeks ago.” He denies sick contacts or symptoms associated with COVID-19, other than a temperature of 100.4⁰F that precipitated his visit your urgent care center. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 3-year-old boy whose mother brings him to your urgent care center, reporting that her son has to be coaxed to stand and to walk because he says his foot hurts. She is not aware of any injury, or possible mechanism of injury. You observe that the boy is limping. Review the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 10-year-old boy who presents with pain in his right knee after twisting his leg during a backyard football game. View the image 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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The patient is a 28-year-old man who presents with 3 days of progressive fever (101.2⁰F) and difficulty swallowing. View the image taken and consider what your diagnosis and next steps would be.
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The patient is a 45-year-old female who presents with lower extremity, lateral pain. She reports being a competitive runner who logs roughly 60 miles a week. The pain is worse when she’s running, but minimal when she’s walking and absent when at rest. View the images taken and consider what your diagnosis and next steps would be.
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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.
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