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 x-rays taken (Figure 1) and consider what your next steps would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge: February, 2007
The patient is a healthy 38-year-old who presents with progressive abdominal pain. There is no fever, vom- iting, or diarrhea. Upon examination, you find: No peritoneal signs Pulse is 55 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 x-rays taken (Figure 1 and Figure 2) and consider what your next steps would be. Resolution of the case …
Read MoreInsight in Images – Clinical Challenge: Case 2
A 53-year-old female presents after experiencing a fall with a blow to the knee several hours earlier. Upon examination, you find: No fluid in the knee The knee is stable Patient is able to put weight on the affected knee Mildly decreased range of motion due to generalized pain in the area (though not over the patella) View Figure 1, take these findings into account, and consider what your next steps would be. Resolution of …
Read MoreInsights in Images – Clinical Challenge: Case 1
A 2 1⁄2-year-old child presents with a three-day history of cough but no fever. Upon examination, you find: Oxygen percent saturation 95% Resting respiration 31/min Pulse 145/min Decreased air entry over the left chest View Figure 1, take these findings into account, and consider what your next steps would be. Resolution of the case is described on the next page.
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