Practice Management
A 62-year-old woman presents with a rash that appeared simultaneously with the onset of ipsilateral facial palsy. She reports severe ear pain in the affected ear, along with hearing loss. Physical examination reveals grouped bullae and vesicles on an erythematous base ipsilaterally involving the auricle, external ear canal, and tympanic membrane, as well as the mouth and anterior two-thirds of the tongue. View the image taken and consider what your diagnosis would be.
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The patient is a 38-year-old female who presents with persistent pain in her left thumb. She explains that she was bitten approximately 2 months prior. There is redness and swelling to the proximal phalanx area. The patient is febrile. View the x-ray and consider what your diagnosis and next steps would be. Resolution of the case is described on the next screen.
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The patient is a 16-year-old female with right-side neck pain after inadvertently swallowing a chicken wing. She has not eaten and has imbibed minimal fluids for more than 24 hours. 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 10-year-old boy who presents after twisting his right knee while playing a backyard game of badminton. The pain is such that he is unable to bear weight on the leg. View the image taken (Figure 1) 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 an otherwise healthy 35-year-old male who presents with posterior neck pain after a motor vehicle accident. View the image taken and consider what your diagnosis and next steps would be.
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Images and case presented by ECG Stampede View the ECG taken and consider the questions below when determining your diagnosis and next steps. KEY QUESTIONS What is the pacemaker mode? What are the indications for pacemaker insertion?
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Images and case presented by ECG Stampede. KEY QUESTIONS With this condition, what three ECG features predict adverse outcomes and what is the expected progression of ECG changes? What is the treatment?
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KEY QUESTIONS What Electrolyte disturbances cause the interval problem seen in this ECG? Which dysrhythmia is this patient at risk for?
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The patient is a 22-year-old male who presents for a pre-employment physical. During the exam, he mentions foot pain of several years’ duration, the origin of which he has no explanation. 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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KEY QUESTIONS What features differentiate acute pericarditis from ST-elevation myocardial infarction? What are the criteria for diagnosing acute pericarditis? What are the treatment options?
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