Images Challenge

A 41-Year-Old Woman with Wrist Pain After Falling
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.  Read More
  Figure 1. The patient is a 32-year-old woman who presents with ankle pain following a fall in which she twisted her ankle. She reports that she was texting while walking her dog and stumbled off the curb. View the image taken and consider your next steps, along with possible diagnoses.Read More
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
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