Practice Management
The patient is a 14-year-old boy who presents with low back pain after falling from “a high height” and landing on his feet. Exam is normal except for tenderness in the mid-lumbar region. View the image taken and consider what your diagnosis and next steps would be.
Read More
The patient is a 17-year-old boy who experienced a blow to the right knee in the course of a fall. He complains of pain over the knee and is unable bear weight on the leg. On examination, you find local swelling. View the image taken and consider what your diagnosis and next steps would be.
Read More
The patient is a 37-year-old female who presented with a history of longstanding hypertension and diabetes mellitus. She had recently started on a new diuretic, and felt very weak and lightheaded. Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute. After reviewing the ECG, consider the following questions: 1. Based on this ECG, what type of diuretic is she likely to be taking? 2. How should she be managed?
Read More
The patient is a 20-year-old female who presents with pain one day after falling and experiencing a blow to the knee. Examination reveals no significant findings beyond mild local tenderness. She is able to bear weight fully on both legs. View the image and consider what your diagnosis and next steps would be.
Read More
The patient is a 16-year-old male who presents with difficulty breathing, pain in his throat, difficulty swallowing, and pleuritic chest pain. He reports that the symptoms began “a couple of hours” earlier. There is no history of trauma, choking, or recent dental procedure. The patient looks well, and is quiet and not toxic. Pulse is 75, O2sat 94; there is no fever. Chest is normal, with bilateral air entry. Assessment is hindered by the patient’s …
Read More
The patient is a 93-year-old female who lost her balance and twisted her ankle. She presents with significant pain in the ankle and swelling over her lateral ankle, though she is able to bear weight. View the image and consider what your diagnosis and next steps would be.
Read More
The patient is a 19-year-old male who complains of pain after receiving a blow to the shoulder. His range of motion is limited due to pain; he is otherwise healthy. View the image and consider what your diagnosis and next steps would be.
Read More
The patient is a 32-year-old male who woke up at 1 a.m. with a burning sensation in the mid-chest (a first-time event, he reports). The patient is not diaphoretic, and has no dyspnea. He is generally healthy and has no known risk factors for heart disease. His physical exam is unremarkable. In addition, you find: BP: 154/102 Pulse: 68 Sat: 99% Temperature: 97.3 °F View the EKG taken and consider what your diagnosis and next …
Read More
The patient is a 16-year-old male who fell from his motorcycle and received a blow to his right ankle. The motorcycle was moving at a “good pace.” On exam, he is able to weight bear, but with significant pain. You note swelling and tenderness over the medical malleolus. View the x-ray taken and consider what your diagnosis and next steps would be.
Read More
The patient is 7-month-old boy who presents with his parents one day after falling from a bed. The parents state that there was no loss of consciousness; the child looks well and has not vomited. The parents brought the child in out of concern from the fall. You opt to do a skull x-ray for the same reason. View the x-ray taken and consider what your diagnosis and next steps would be.
Read More