Availability of basic x-ray capabilities differentiates urgent care centers from walk-in primary-care and retail clinics, which lack such capabilities. According to an analysis of nearly 50,000 patient encounters by Practice Velocity and Teleradiology Specialists, approximately 11% of urgent care visits require an x-ray. The top 10 views, summarized here by Current Procedural Technology (CPT) codes, account for 86% of urgent care x-rays. (Note: The top 10 views include 11 views because of the equal percentage of …
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7-year-old girl with twisted knee after fall
The patient, a 7-year-old girl, presented after falling and twisting her left knee. View the image taken (Figure 1) and consider what your diagnosis would be. Click to the next page below to see the resolution to this case!
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4-year-old boy with a blow to his left leg
This x-ray was taken on a 4-year-old boy with a blow to his left leg. View the image taken (Figure 1) and consider what your diagnosis would be.
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8-month-old infant who reportedly stopped crawling
The patient, an 8-month-old boy, was brought in by a caretaker, who reported that the infant had stopped crawling. View the image taken (Figure 1) and consider what your diagnosis would be.
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6-year-old male with a blow to his left knee
The patient, a 6-year-old male, presented after a blow to his left knee. View the image taken (Figure 1) and consider what your diagnosis would be.
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20-year-old has an incidental finding on his x-ray
The patient, a 20-year-old male, had an incidental finding on an x-ray of his right knee. View the image taken and consider what your diagnosis would be.
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9-year-old patient trips and receives a blow to right knee
The patient, an otherwise healthy 9-year-old, tripped, suffered a blow to the right knee and presented with the knee cap in an abnormal position. View the image taken and consider what your diagnosis and next steps would be
Read MoreClinical Challenge: October, 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]. A 17-year-old patient presents with a “twisted” left knee sustained in a fall, able to bear weight despite obvious pain. View the image taken (Figure 1) and …
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17-year-old boy injures knee during a fall
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.
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20-year-old female with knee pain after fall
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.
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