Case A 17-year-old presents with hard, painless masses on the shin. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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Eighteen-Year-Old with Cough and Yellow Sputum
An 18-year-old young woman without a significant past medical history presents after 4 days of a cough productive of yellow sputum. Her mother states that her daughter has felt warm to the touch, but she has not checked her temperature with a thermometer. View the radiograph obtained (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge: October, 2015
This feature will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of 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]. Case A 12-year-old presents with severe ankle pain and swelling after twisting an ankle while jumping off a tree limb. View the image taken (Figure 1) and consider what …
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Blurred Vision and Painful Red Eye in a 40-Year-Old Patient
A 40-year-old man presents to an urgent care center with an acutely painful red eye in which he has blurred vision. He notices a bit of a headache and that there are some halos around lights, but he says that he has not experienced nausea or vomiting. When reviewing his medical history with you, he notes that he recently started taking a new antidepressant. View the image taken (Figure 1) and consider what your diagnosis …
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Flashes of Light, Floaters, and Blurred Vision
A 70-year-old man presents with blurred vision and a nasal-field defect in one of his eyes. He reports that before arriving in the emergency department, he saw flashes of light and floaters, accompanied by a shower of black dots blocking his vision. Figure 1 shows what the physician sees when examining the patient’s eye with indirect ophthalmoscopy and scleral depression. Consider what your diagnosis would be.
Read MoreClinical Challenge: September, 2015
Case A patient presents after a fall during a soccer game, reporting severe pain in one thumb and difficulty grasping anything between the thumb and forefinger. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge: September, 2015
A 41-year-old man presents with left-flank pain. His past medical history is unremarkable. An incidental finding is evident on images of the kidney, ureter, and bladder. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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Adult with Painful Lesion That Enlarges and Darkens
An 80-year-old man reports waking up with a localized area of erythema on his forehead. He says that he did not worry about it until the lesion slowly became white and then started turning blue over a few hours. He says that the lesion is painful and is getting larger and darker. He reports no headaches, muscle pain, abdominal pain, sweating, or tremors. View the image taken (Figure 1) and consider what your diagnosis would …
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Skin Rash with Pustules on a Newborn
A healthy, full-term baby girl was born to a healthy mother who had adequate prenatal care and no signs of infectious diseases. Three days after birth, the baby developed multiple 1-mm pale-yellow to yellow pustules within a large inflammatory wheal on her cheek. Several hours later, the rash starts to resolve. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreClinical Challenge 2: July/August, 2015
The Case A patient presents after a backward fall off a ladder. View the image taken (Figure 1) and consider what your diagnosis would be.
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