53-year-old woman with limited motion and pain in knee

53-year-old woman with limited motion and pain in knee

The patient is was a 53-year-old female who experienced a fall, landing on her knee, several hours before presenting. Her knee is stable and she is able to bear weight on the affected leg, though there is mildly decreased range of motion due to generalized pain in the area. You note that the pain is not over the patella, however. There is no fluid in the knee. View the image taken and consider what your …

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38-year-old with progressive abdominal pain

38-year-old with progressive abdominal pain

The patient is a healthy 38-year-old who presents with progressive abdominal pain. There is no fever, vomiting, or diarrhea. There are no peritoneal signs. Pulse is 55, and blood pressure is 118/50. The only remarkable finding when the history is taken is that the patient had corrective heart surgery as a child. View the image taken and consider what your diagnosis would be.

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3-year-old girl with sudden pain in right hip

3-year-old girl with sudden pain in right hip

The patient is a 3-year-old girl who presented to the urgent care center with right hip pain. She has no fever, and the parents report there was no trauma. The child has a limp and reproducible pain on external rotation of the right hip. White blood count is 11,900 with 40.7 lymphs. The erythrocyte sedimentation rate (ESR) is 3 mm/hour. The x-ray shows fluid around the right hip joint; this finding was confirmed by ultrasound. …

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