Practice Management
This patient presented with a two-hour history of intense pain and redness along the left side of her head and down her left arm. She reported no exposure to unusual foods, plants, or substances, and denied any additional complaints. History and examination reveal no other remarkable findings. View the image taken and consider what your diagnosis and next steps would be.
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The patient is a 10-month-old child who presents with the parents, upon referral by the pediatrician, with a history of three days of pain but no history of trauma. The child refuses to stand, presumably due to pain, and resists crawling. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 56-year-old man who emigrated from Mexico to Texas two months ago. He first presented about two weeks ago with a dry cough, chest pain, fevers, and night sweats. Chest x-ray showed a focal consolidation. He had received BCG vaccination as a child, so a PPD was not placed. He was started on isoniazid, rifampin, and ethambutol for tuberculosis. Now, he presents complaining of the same symptoms, plus a rash that erupted …
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The patient is an 18-year-old male who jumped or fell from a \”short height\” but landed hard on his heel. He is able to ambulate, but cannot put any pressure on his heel. Examination and history reveal nothing remarkable. View the x-ray taken and consider what your diagnosis or next steps would be.
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The patient is a 9-year-old boy who received a blow to the shoulder from a height of approximately 6 ½ feet. He has limited elevation of the arm due to pain. Examination and history reveal no additional factors. View the x-ray taken and consider what your diagnosis or next steps would be.
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The patient is an obese 56-year-old woman who presents with unilateral leg swelling. The area has been weeping for days. On examination, you discover a large erythematous, scaly plaque on the right ankle and lower leg. The patient shares with you that five days earlier she was diagnosed by her primary physician with cellulitis and started on “an antibiotic.” There are no other remarkable findings, and she has no fever. View the photo and consider …
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The patient is a 15-year-old boy who presents with pain in the wrist 40 minutes after stopping a soccer ball with his hand. There is no snuffbox tenderness. View the x-rays taken and consider what your diagnosis and next steps would be.
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The patient is a 76-year-old woman with a one-day history of multiple painful ulcers, with general erythema on the mucosa of the left side of the hard palate of her mouth. On examination, you find that they stop at the midline of the palate. There are no other remarkable findings, but upon questioning the patient reveals a three-day history of fevers and general aches. View the photo and consider what your next steps would be.
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The patient is a young child with three days of constipation with a non-specific history of abdominal pain. On exam, the child is asleep. The abdomen is easily palpable and soft. Physical exam reveals no other remarkable factors. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 23-year-old white woman with a medical history significant for asthma as a teenager who presents with “bruising on her legs and belly.” The patient reports that the affected areas became red and started \”stinging\” approximately three weeks ago, accompanied by “some small blisters.” At the time, she attributed the symptoms to sunburn. Gradually, however, the areas evolved into darker \”bruises\” that have now been present for about two weeks. She denies …
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