Clinical Challenge: February, 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]. The patient is a 17-year-old male who fell and experienced a blow to the right knee. On examination, you not local swelling. The patient complains of pain …

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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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