The patient is a 62-year-old who presents with a primary complaint of right shoulder pain that developed over time. The patient denies any trauma and appears well. The history and examination are unremarkable. View the image taken and consider what your diagnosis and next steps would be.
Read More
42-year-old woman in considerable ankle pain
The patient is a 42-year-old who presents to urgent care after “twisting” her left foot. She is able to bear weight on the foot, though not without evident considerable pain. View the image taken and consider what your diagnosis and next steps would be.
Read More
23-year-old male has persistent wound after crushing finger
The patient is a 23-year-old healthy male presenting for a “wound check” about four weeks after crushing his left fifth finger in a car door. At that time, x-rays were negative for a fracture. He was placed on cephalexin because of a small avulsion of skin on the distal aspect of the finger. Today, you find that the distal aspect of the dermis of the fifth finger has sloughed off. The underlying tissue is pink, …
Read More
14-year-old boy with lower back pain stemming from fall
The patient is a 14-year-old boy who presents with low back pain after falling from “a high height” and landing on his feet. Exam is normal except for tenderness in the mid-lumbar region. View the image taken and consider what your diagnosis and next steps would be.
Read More
17-year-old boy injures knee during a fall
The patient is a 17-year-old boy who experienced a blow to the right knee in the course of a fall. He complains of pain over the knee and is unable bear weight on the leg. On examination, you find local swelling. View the image taken and consider what your diagnosis and next steps would be.
Read More
37-year-old diabetic female feeling weak after switching diuretics
The patient is a 37-year-old female who presented with a history of longstanding hypertension and diabetes mellitus. She had recently started on a new diuretic, and felt very weak and lightheaded. Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute. After reviewing the ECG, consider the following questions: 1. Based on this ECG, what type of diuretic is she likely to be taking? 2. How should she be managed?
Read More
20-year-old female with knee pain after fall
The patient is a 20-year-old female who presents with pain one day after falling and experiencing a blow to the knee. Examination reveals no significant findings beyond mild local tenderness. She is able to bear weight fully on both legs. View the image and consider what your diagnosis and next steps would be.
Read More
16-year-old male experiencing chest and throat pain
The patient is a 16-year-old male who presents with difficulty breathing, pain in his throat, difficulty swallowing, and pleuritic chest pain. He reports that the symptoms began “a couple of hours” earlier. There is no history of trauma, choking, or recent dental procedure. The patient looks well, and is quiet and not toxic. Pulse is 75, O2sat 94; there is no fever. Chest is normal, with bilateral air entry. Assessment is hindered by the patient’s …
Read More
93-year-old female with a twisted ankle
The patient is a 93-year-old female who lost her balance and twisted her ankle. She presents with significant pain in the ankle and swelling over her lateral ankle, though she is able to bear weight. View the image and consider what your diagnosis and next steps would be.
Read More
19-year-old male experiencing pain in shoulder
The patient is a 19-year-old male who complains of pain after receiving a blow to the shoulder. His range of motion is limited due to pain; he is otherwise healthy. View the image and consider what your diagnosis and next steps would be.
Read More