Practice Management
The patient is a 13-year-old male who presented to urgent care after taking a fall while running; he landed on his outstretched left hand. Upon examination, you find tenderness in the snuffbox and observe swelling around the wrist. Otherwise, the findings are unremarkable. View the x-ray taken and consider what your next steps would be.
Read More
The patient is a man who presents to the urgent care center after waking in the morning with a sharp pain and a feeling of \”something grainy\” in his left eye. Upon examination, you find diffuse redness of the sclera and conjunctiva, as well as tearing. Additionally, the patient appears photophobic. You are unable to assess visual acuity because he has left his contact lenses out and does not have glasses. Fluorescein examination reveals no …
Read More
The patient is a 2½ -year-old female who presented after falling, unobserved, from an unknown height with tenderness and swelling around the elbow. Neurovascular exam was normal. View the image taken and consider what your diagnosis would be.
Read More
The patient is a 25-year-old male who presented to urgent care after falling from a height of two stories, landing flat on his feet. He is able to ambulate, though only with pain. In addition, he complains of back pain. He is generally healthy, and no neurological deficit was found. View the image taken and consider what your diagnosis would be.
Read More
The patient is a 17-year-old male who awoke with intensely itchy scattered vesicles over his arms, face, and legs the day after returning from a camping trip. Additionally, his right eye was edematous and nearly swollen closed. He reported that over the course of the day, the rash seemed to get worse and spread to more areas on his body. View the image taken and consider what your diagnosis would be.
Read More
The patient is a 3-year-old female who presented after a fall while running, complaining of pain over the foot. There was minimal local tenderness over the foot and minimal limp, but no other remarkable findings. View the image taken and consider what your diagnosis would be.
Read More
The patient is a 36-year-old obese woman who presented with upper right back pain 10 days after a normal child birth. Pain is worse on coughing. Otherwise, she is fit and well. Upon examination, you find: No shortness of breath Normal oxygen saturation Patient is afebrile Auscultation: Reduced breathing sounds in right base, fine crackles on right View the image taken and consider what your diagnosis would be.
Read More
The patient is was a 53-year-old female who experienced a fall, landing on her knee, several hours before presenting. Her knee is stable and she is able to bear weight on the affected leg, though there is mildly decreased range of motion due to generalized pain in the area. You note that the pain is not over the patella, however. There is no fluid in the knee. View the image taken and consider what your …
Read More
The patient is a healthy 38-year-old who presents with progressive abdominal pain. There is no fever, vomiting, or diarrhea. There are no peritoneal signs. Pulse is 55, and blood pressure is 118/50. The only remarkable finding when the history is taken is that the patient had corrective heart surgery as a child. View the image taken and consider what your diagnosis would be.
Read More
The patient is a healthy 30-year-old male who presents with pain shortly after “twisting” his ankle while playing soccer. Pain is severe enough to prevent him from putting weight on the ankle. There are no other remarkable findings from exam or patient history. View the image taken and consider what your diagnosis would be.
Read More