A 70-year-old male with a history of atrial fibrillation presents to urgent care for 1 week of fatigue and edema of the lower extremities and face. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. Case presented by Joe Stockhausen, MD
Read More56-Year-Old With Cancer and Developing Rash
A 56-year-old woman presents to urgent care for a rash that developed on her hands, ears, and nose over the last couple of months. She has a recent diagnosis of esophageal cancer. On examination, hyperkeratotic plaques were seen on the palm and fingers, and scaly papules were seen on her helices and nose. Her nails displayed subungual hyperkeratosis, onychodystrophy, and onycholysis along with erythema and edema on her nail folds. View the image below and …
Read More60-Year-Old With Annoying Cough
A 60-year-old man presents to urgent care complaining of an annoying cough for several months. He states that he frequently has sputum production with his cough. He denies any fever, chills, or other symptoms. Review the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read More15-Year-Old Gasping for Air
A 15-year-old male with no significant past medical history presents after he was noted to be gasping for air and difficult to arouse after taking a nap. At the urgent care, an ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More48-Year-Old With Foot Pain After Hiking
A 48-year-old man presents to urgent care complaining of pain in his right foot after hiking last weekend on a rough trail. He denies any trauma or specific injury. Review the images below and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read More42-Year-Old With Stinging Sensation
A 42-year-old woman presented to urgent care early in the morning saying that she felt a stinging sensation on her arm while she was cleaning her basement the previous day. She thinks it might be a bite but didn’t see anything. She had subsequent marked pain at the site and over the past few hours developed nausea and muscle aches. On physical examination, the patient had a temperature of 101.3°F (38.5°C). There were reddish-brown reticulate …
Read More57-Year-Old With Progressive Dyspnea
A 57-year-old man presents to urgent care with progressive dyspnea for 1 month. The patient has a history of unmanaged hypertension. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More38-Year-Old With Pelvic Pain After a Fall
A 38-year-old man present to urgent care complaining of pain around his entire pelvis after a fall on a slippery floor at home. Imaging is obtained. Review the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read More61-Year Old With Light-Headedness
A 61-year-old male presents to urgent care complaining of light-headedness. The patient has a medical history of hypertension and recently started metoprolol. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More42-Year-Old Soccer Player With Knee Injury
A 42-year-old man presents to urgent care with knee pain. He says the pain started when he was playing soccer, just as he kicked a ball toward the goal. Ultimately, he had to leave the game because of the pain. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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