Practice Management
The patient is a 28-year-old male with right wrist pain after a boxing match. He reports that he felt “a pop” and immediate pain along the ulnar aspect of his wrist after throwing a punch. He has no past medical history and takes no medications. 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 35-year-old male who presents to urgent care with acute pain in his left shoulder after falling during a bicycle ride. Pain is worse with movements, but he is able to range the shoulder somewhat. You observe bruising and swelling at the impact site. View the images taken and consider what your diagnosis and next steps would be.
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The patient is a 3-year-old boy whose mother brings him to your urgent care center, reporting that her son has to be coaxed to stand and to walk because he says his foot hurts. She is not aware of any injury, or possible mechanism of injury. You observe that the boy is limping. Review the x-ray taken and consider what your diagnosis and next steps would be.
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Case The patient is a 2-year-old girl who is brought to your urgent care center by her parents several hours after jumping on a trampoline with her friend, but that she “seemed fine” when the mother picked her up to come home. View the images taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page. The Resolution Differential Diagnosis Acute transverse fracture of the …
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Figure 1. The patient is a 41-year-old woman who presents with wrist pain and swelling after falling on her outstretched hand in ulnar deviation. She says she stumbled stepping into the house while carrying groceries. View the image taken and consider your next steps, along with possible diagnoses.
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A mother brings her 3-year-old daughter to your urgent care center, concerned about a rash that developed at the same time the girl started having a runny nose and low-grade fever, and became slightly lethargic. Now her cheeks are bright red, and she has a blanching macular rash that’s spread slowly from her extremities to her trunk. View the image and consider your next steps, along with possible diagnoses.
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A 48-year-old woman presents with lower sacral and coccyx pain one day after a fall in which she says she simply “missed” the edge of a chair and landed on the floor at a party. View the images taken and consider your next steps, along with possible diagnoses.
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A 47-year-old male presents to your urgent care center with an exacerbation of chronic hip pain. The patient offers little by way of explanation; he reports he’s felt discomfort in his right hip “for years,” but that it’s grown worse recently. View the images taken and consider your next steps, along with possible diagnoses.
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A 21-year-old male presents to your urgent care center complaining of back pain after falling from a ladder. He is unclear about the exact point of impact, but the pain increases with attempts to bend or twist. Examination reveals he has decreased range of motion. View the image taken (Figure 1) and consider your next steps, along with possible diagnoses.
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A 16-year-old presents with an irregular patch of skin on his chest, reporting that it has become increasingly hyperpigmented over the past year. He also says the same area has had in increase in hair growth in recent months View the image taken (Figure 1) and consider what your diagnosis would be.
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