Practice Management
The patient was a 5-year-old male. His parents reported that he had been febrile for the past several days (fever between 101°F and 103°F [38.3°C to 49.4°C]) and had become increasingly irritable and ill appearing. Exam revealed bilateral conjunctival injection without exudate, dry red lips and red tongue, and perineal erythema with overlying scale. The patient’s lymph nodes were swollen. View the images taken (Figures 1, 2 and 3) and consider what your diagnosis would …
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The patient, an otherwise healthy 9-year-old, tripped, suffered a blow to the right knee and presented with the knee cap in an abnormal position. View the image taken and consider what your diagnosis and next steps would be
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The patient, an otherwise healthy 21-year-old, presented with hemoptysis. View the image taken and consider what your diagnosis and next steps would be.
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The patient, an otherwise-healthy 75-year-old, was eating fish, felt a swallowed bone, and has experienced progressive dysphagia since. View the image taken and consider what your diagnosis and next steps would be
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The patient, an otherwise healthy 2-1/2 year-old, experienced recurrent episodes of abdominal pain without vomiting or diarrhea. On exam, fullness of the abdomen was present. View the image taken and consider what your diagnosis and next steps would be. Click on the button below to see the resolution of the case.
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This otherwise healthy 27-year-old jammed his right finger today. NL distal perfusion. Palpable reduction achieved with traction. Continued instability. Subluxates with flexion. Therefore, placed in splint to return for ortho tonight. View the image taken and consider what your diagnosis and next steps would be. Click on the button below to see the resolution of the case.
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This otherwise healthy 32-year-old patient fell during a soccer game, suffered a blow to the thumb of the left hand, and now has a deformity of that thumb. View the image taken and consider what your diagnosis and next steps would be. Click on the button below to see the resolution of the case.
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This otherwise healthy 22-year-old patient fell and landed directly on the right shoulder. The presentation included marked local swelling and decreased range of motion. View the image taken and consider what your diagnosis would be.
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The patient, an otherwise-healthy 26-year-old, suffered a blow to the left shoulder and presented with a limited range of motion. View the image taken and consider what your diagnosis and next steps would be.
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This 70-year-old patient presented with pain in the left shoulder. There was no history of trauma. View the image taken and consider what your diagnosis and next steps would be.
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