Practice Management
A 53-year-old female with no significant past medical history presents to the urgent care with progressive fatigue for several weeks. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A 12- year-old male presents to urgent care with his mother complaining of facial pain. The patient experienced a trip-and-fall accident at home. He landed on a carpeted floor and now complains of facial pain. View the image taken (occipitomental/Waters view) and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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An 18-year-old male presents with chest pain with coughing for one day. The patient has no known medical history. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A 53-year-old man presents to urgent care concerned about a spreading rash underneath his arms for the past 3 weeks. He initially thought it was an allergic reaction to a new deodorant, but the rash persisted after stopping the deodorant. The rash is not itchy. The patient has a history of type 2 diabetes. On examination, a broad, well-demarcated, thin, scaly plaque is seen extending from the lateral chest over the axilla to the upper …
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A 35-year-old man presents to urgent care complaining of severe posterior heel pain after a fall. He works for a local roofing company and fell a few feet from a ladder, landing on a hard surface. View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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An 18-year-old man presented to urgent care with fever, pain in multiple joints, and a back rash that had been progressive for the last few weeks. On examination of the back, there were multiple painful erythematous and violaceous papules and nodules as well as several large pustules. Some of the lesions were eroded and crusted. The patient reported that he recently started an intensive bodybuilding regimen with a 3 month use of anabolic-androgenic steroid/testosterone prior …
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A 25-year-old male presents to urgent care with ongoing pain in his right shoulder. He denies trauma and reports the pain is deep within the shoulder joint itself. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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Case presented by Jonathan Giordano, DO A 64-year-old female presents in the urgent care complaining of dyspnea for the past 3 days. After asking a few questions, you learn the woman has a history of chronic obstructive pulmonary disease (COPD). View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page
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A 51-year-old man presents to urgent care concerned about an asymptomatic rash that developed over his face within the last month. On examination, pink and violaceous, annular, scaly papules, and plaques were seen on his cheeks and within his beard area and nasolabial folds. The patient appeared well and reported no systemic symptoms. View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the …
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