Journal of Urgent Care Medicine

Clinical Challenge – March 2014

THE CASE The patient, a 67-year-old man, presented after a blow to his left shoulder. View the image taken (Figure 1) and consider what your diagnosis would be.

9-year-old female suffering after a blow to her right hand

The patient, a 9-year-old female, presented after a blow to her right hand. View the image taken and consider what your diagnosis would be.

3-year-old boy suffering a blow to his leg

The patient, a 3-year-old, had a blow to his lower leg. View the image taken and consider what your diagnosis would be.

9-year-old patient trips and receives a blow to right knee

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

32-year old experiences deforming blow to left thumb

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.

26-year-old presents limited range of motion in shoulder

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.

49-year-old patient exhibits pain after blow to elbow

This 49-year-old patient presented with a blow to the left elbow and had limited extension. View the image taken and consider what your diagnosis would be.

16-year-old patient presents with blow to the left wrist

This 16-year-old patient presented with a blow to the left wrist. View the image taken and consider what your diagnosis would be.

4-year-old patient incurs blow to head

This 4-year-old patient suffered a blow to the head. View the image taken and consider what your diagnosis and next steps would be.

32-year-old patient sustains blow to chest

This 42-year-old patient suffered a blow to the chest and presents with pain but is assumed to be otherwise healthy. View the image taken and consider what your diagnosis and next steps would be.