Images Challenge

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
  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.Read More

Posted On May 16, 2017 By In Images Challenge

A Female with Coccyx Pain

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.Read More

Posted On April 18, 2017 By In Images Challenge

Suddenly Urgent Chronic Hip Pain

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.Read More
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.Read More
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.Read More
Parents bring their 2-year-old boy to an urgent care center after noticing that his right pupil looks white, and that the eye is excessively teary and looks bloodshot. They report that they boy has also complained that it hurts on occasion.   View the image taken (Figure 1) and consider what your diagnosis would beRead More