Images Challenge

Figure 1. A 15-year-old boy presents with wrist pain and swelling following a fall onto his outstretched hand. He reports that he slipped on a patch of ice and broke his fall by putting his hand forward. View the image taken and consider your next steps, along with possible diagnoses.Read More

Posted On January 17, 2018 By In Images Challenge

A Young Man with Acute Ankle Injury

The patient is a 25-year-old man who complains of severe ankle pain and immobility after stumbling at work. He was carrying boxes through the warehouse when he stumbled and fell off a platform, landing with his foot in a forced flexion position. View the image taken and consider your next steps, along with possible diagnoses.Read More
An 18-year-old male visits your urgent care center for the first time, complaining of chronic lower back pain. He offers no explanation of its onset, but reports (upon being asked about his typical activities) that he is a linebacker on his high school football team and a heavyweight on the wrestling team.  View the image taken and consider your next steps, along with possible diagnoses.Read More
An 18-year-old female presents to your urgent care center complaining of sudden-onset, sharp chest pain. She denies any trauma. View the image taken and consider your next steps, along with possible diagnoses.Read More
A 42-year-old male presents to urgent care complaining of shoulder pain. He notes that the pain is not new—he’s been living with it for several years—but in recent weeks he’s noticed it is growing more severe, especially with motion. View the image taken and consider your next steps, along with possible diagnoses.Read More
A 35-year-old male presents to urgent care complaining of pain over the metacarpal of the little finger after punching a wall in his home for reasons he chose not to explain. On exam, pain is evident with palpation at the base of the metacarpal. You note there is a deformity over the 5th metacarpal bone. The neurovascular status is intact. View the images taken and consider your next steps, along with possible diagnoses.Read More
A 51-year-old male presents to urgent care with wrist pain after stumbling while walking his dog. He recalls landing on his outstretched arm. On exam, there is pain with palpation, and decreased range of motion of the distal wrist. Neurovascular status is intact, and there are no breaks in the skin. View the image taken and consider your next steps, along with possible diagnoses.  Read More
  A new patient—a 45-year-old man who says he’s been plagued by midfoot pain for several weeks—presents to your urgent care center. The foot is normal in appearance, but it is evident that the patient has pain palpation over the midfoot. There is no pain with palpation over the plantar aspect. Skin does not show signs of infection. The neurovascular status is intact. View the image taken and consider your next steps, along with possible diagnoses.Read More