A 61-year-old female with a past medical history of hypertension presents to urgent care with palpitations and shortness of breath for 3 days. She also reports cough and fever, and denies nausea or vomiting. View the initial ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreA 7-Year-Old Male with Lesions on His Knees
A mother brings her 7-year-old son to your urgent care center because she’s concerned about asymptomatic lesions that have developed on his knees over the past couple of weeks. On examination, you observe smooth, crusted and scaly, erythematous and whitish papules and nodules on both knees. There was no history of recent trauma. The patient had a history of dermatomyositis. View the image and consider what your diagnosis and next steps would be. Resolution of …
Read MoreA 12-Year-Old Boy with a Crush Injury
The patient is a 12-year-old boy who presents with pain after his foot became wedged in an escalator at the mall. The image on the left was taken upon presentation; the one on the right is from a 2-week follow-up. Review each and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreA 35-Year-Old with Ankle Pain and a History of Gunshot Wound
A 35-year-old male presents with progressive pain in his ankle. He reports a history of a gunshot to the foot without any aftercare. Review the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreA 20-Year-Old Female with Weakness, Vomiting, and a History of Alcohol Abuse
The patient is a 20-year-old female who presents complaining of 1 day of generalized weakness and vomiting. She has a history of alcohol abuse and denies chest pain, shortness of breath, lower extremity swelling, fevers, chills, or any infectious symptoms. View the ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreA 33-Year-Old with New, Painful ‘Lumps’ on Her Legs
A 33-year-old female presents with painful “lumps” on her legs that developed over the past few days. She decided to seek care when some of them began to drain pus. She had no trauma and feels well. Her past medical history is significant for type 2 diabetes mellitus. On examination she is afebrile, with scattered tender nodules, some with purulent drainage, on the legs. View the image taken and consider what your diagnosis and next …
Read MoreA 28-Year-Old with Tibial Pain After Prolonged Exercise
A 28-year-old male presents complaining of anterior shin pain. He shares that he is a runner training for a marathon, and that the pain began toward the end of an 18-mile run. There was no direct trauma. View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreA 52-Year-Old Male with Shortness of Breath and a History of Multiple Cardiologic Issues
A 52-year-old male with a history of hypertension, hyperlipidemia, and recent myocardial infarction (1 month ago) presents to urgent care with shortness of breath for the past week. He denies fever, chest pain, or cough. On examination, the patient is breathing comfortably and saturating well on ambient air. Review the ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read MoreA 7-Year-Old Boy with New Facial Rash
A woman brings her 7-year-old son to the urgent care center with a rash that had developed “over the past few weeks.” On examination, there are smooth, pink papules around the mouth. The mother reports that the patient has a history of asthma, for which he uses inhalation budesonide daily as maintenance therapy. Otherwise he is healthy, has no systemic symptoms, and is well-appearing. View the photo taken and consider what your diagnosis and next …
Read MoreA 70-Year-Old Male Who Presents in a Confused State
A 70-year-old male presents to urgent care with confusion. On exam, the patient is tachypneic and is, indeed, confused but is able to follow commands. View the initial ECG 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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