Practice Management
The patient is a 28-year-old female who presents with foot pain after experiencing a fall of 10 feet while rock climbing. On exam, you find midfoot dorsal and plantar tenderness, as well as bruising across the top of the foot. Review the image taken and consider what your diagnosis and next steps would be.
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The patient is a 9-year-old girl who is brought to your urgent care center by her parents after falling down the stairs at home. She complains of pain in her left hip, severe enough that she refuses to bear weight. You order imaging of her pelvis, as well as the hip. View the image taken and consider what your diagnosis and next steps would be.
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The patient is a 47-year-old male who presents to urgent care with a painful, swollen right knee after crashing into a tree while trail biking through the woods. He is unable to bear weight on the leg due to the discomfort. View the x-ray and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.
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The patient is a 40-year-old man who presents with cough and fever. Living and working in New York City as cases of COVID-19 were on a steep incline, he acknowledges multiple exposures to individuals who could have been infected with the virus. Similarly, he reports that a close friend had the flu recently. View the x-ray and consider what your diagnosis and next steps would be.
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The patient is a 38-year-old man who presents with an exacerbation of chronic shoulder pain. He can’t recall when the pain initially started, but reports that it began to get worse after he played tennis for the first time this season, about a week ago. View the image taken and consider your next steps, along with possible diagnoses.
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The patient is a 90-year-old man who has been driven to your urgent care center by his granddaughter after falling in his home. He complains of pain in his left shoulder, which he says took the brunt of the impact. View the image taken and consider what your next steps and diagnosis would be.
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The patient is a 17-year-old male who presents with pain and swelling in his left thumb. He reports that he fell off an all-terrain vehicle while “mudbogging,” bending the thumb back when he reached out to break his fall. View the image taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.
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The patient is a 2-year-old boy who presents with a painful, swollen foot after jumping off a bed. You observe that he limps when trying to walk. View the image taken and consider what your diagnosis and next steps would be.
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The Case The patient is a 65-year-old woman who presents with pain in her left hip after stumbling down the last step of her front stoop. Her daughter, who witnessed the incident, reports that her mother did not fall and insists she “didn’t even land that hard” on her left leg. Review the image taken and consider what our diagnosis and next steps would be.
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A 12-year-old boy is brought to your urgent care center by his mother. She reports that while playing dodgeball after school, he felt a “pop” in his groin, followed immediately by pain. Having seen him walk across the exam room, it’s clear the effort causes discomfort. View the images taken and consider what your diagnosis and next steps would be.
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