Practice Management
An 18-year-old man presented to urgent care with fever, pain in multiple joints, and a back rash that had been progressive for the last few weeks. On examination of the back, there were multiple painful erythematous and violaceous papules and nodules as well as several large pustules. Some of the lesions were eroded and crusted. The patient reported that he recently started an intensive bodybuilding regimen with a 3 month use of anabolic-androgenic steroid/testosterone prior …
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A 25-year-old male presents to urgent care with ongoing pain in his right shoulder. He denies trauma and reports the pain is deep within the shoulder joint itself. 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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A 75-year-old woman presents to urgent care following a fall in her home that day. An adult daughter explains that her mother has pain on her left side around her ribs. 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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A 66-year-old male presents in the urgent care, saying “it’s hard to breathe.” He’s had weakness and dyspnea for one day. The patient has a medical history of diabetes, hypertension, and heart failure. The patient has a pacemaker. 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
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A 52-year-old man presents to urgent care for a new growth on his nose. On examination, a smooth, faint pink papule with overlying scant telangiectasias was seen at the lateral nasal sidewall. View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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A 46-year-old man with a history of hypertension presented in an urgent care center saying he’s had chest pain for 2 days. He also said the pain has been worsening each day, and today it is severe. He denies nausea, vomiting, or shortness of breath. On exam, he appears uncomfortable but has normal vital signs. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is …
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On a Friday afternoon, a worried mother brings her 4-year-old daughter to the urgent care. She says the girl is complaining that her “side hurts.” The mother can’t recall any recent falls or injuries. Review the image of the anterior to posterior (AP) pelvis taken upon presentation and consider possible diagnoses and next steps you would recommend to the family.
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The patient is a 75-year-old female who presents with dizziness and a slow heartbeat. She has a history of hypertension. View the ECG taken and consider what your diagnosis and next steps would be. Resolution of the case begins on the next page.
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A 49-year-old woman presents with a lesion that developed over her right toe over the past 4 weeks. It is painless, but has begun to bleed. On examination, a smooth, pink, friable, eroded nodule is seen on the nail bed. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A 69-year-old man presents with “neck pain” after a care crash. Lateral and oblique views of the lower cervical spine are ordered. 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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