These x-rays were taken on a man who had fallen on an outstretched hand. View the images taken (Figure 1 & 2) and consider what your diagnosis would be.
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X-ray of man with a crush injury to hand
This x-ray was taken on a man with a crush injury to his hand. View the image taken (Figure 1) and consider what your diagnosis would be.
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56-year-old woman who tripped and hit her right hand
The x-ray and the photo were taken on a 56-year-old woman who tripped and hit her right hand. View the images taken (Figure 1) and consider what your diagnosis would be.
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79-year-old female with pain at the base of her left thumb & no trauma
This x-ray was taken on a 79-year-old female with pain at the base of her left thumb and no clear history of trauma. View the image taken (Figure 1) and consider what your diagnosis would be.
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23-year-old male presented after blow to left wrist
The patient, a 23-year-old male, presented after a blow to his left wrist. View the image taken (Figure 1) and consider what your diagnosis would be.
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6-year-old boy presented after falling on his outstretched right hand
The patient, a 6-year-old boy, presented after falling on his outstretched right hand. View the image taken (Figure 1) and consider what your diagnosis would be.
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55-year-old woman with injury to her right finger
The patient, a 55-year-old woman, injured her right ring finger after missing a grab at her dog’s collar while the dog was running away. She complained of being unable to bend the end of the finger and pain in her palm. There was no numbness. Notice the excessive extension of the distal phalanx at rest. Now consider the x-ray series. After viewing the images taken, consider what your diagnosis would be.
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9-year-old female suffering after a blow to her right hand
The patient, a 9-year-old female, presented after a blow to her right hand. View the image taken and consider what your diagnosis would be.
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23-year-old male has persistent wound after crushing finger
The patient is a 23-year-old healthy male presenting for a “wound check” about four weeks after crushing his left fifth finger in a car door. At that time, x-rays were negative for a fracture. He was placed on cephalexin because of a small avulsion of skin on the distal aspect of the finger. Today, you find that the distal aspect of the dermis of the fifth finger has sloughed off. The underlying tissue is pink, …
Read MoreClinical Challenge: June, 2010
In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please e-mail the relevant materials and presenting information to [email protected]. The patient is a 4 1/2 -year-old girl who presents with local pain and swelling in the fifth digit of her left hand. The parents report that …
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