Practice Management
A 28-year-old male presents complaining of anterior shin pain. He shares that he is a runner training for a marathon, and that the pain began toward the end of an 18-mile run. There was no direct trauma. View the images 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 52-year-old male with a history of hypertension, hyperlipidemia, and recent myocardial infarction (1 month ago) presents to urgent care with shortness of breath for the past week. He denies fever, chest pain, or cough. On examination, the patient is breathing comfortably and saturating well on ambient air. Review the ECG 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 woman brings her 7-year-old son to the urgent care center with a rash that had developed “over the past few weeks.” On examination, there are smooth, pink papules around the mouth. The mother reports that the patient has a history of asthma, for which he uses inhalation budesonide daily as maintenance therapy. Otherwise he is healthy, has no systemic symptoms, and is well-appearing. View the photo taken and consider what your diagnosis and next …
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A 70-year-old male presents to urgent care with confusion. On exam, the patient is tachypneic and is, indeed, confused but is able to follow commands. View the initial ECG 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 41-year-old woman with a history of systemic lupus erythematosus presents for evaluation of painful areas that had developed on her upper, outer arms and lateral thighs over the past month. She reports that while the affected areas were initially smooth, some had begun to ulcerate. View the photo taken and consider what your diagnosis and next steps would be.
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The patient is a 35-year-old male with a soft tissue mass in the mid index finger of his right hand. He reports that he noticed it only recently, and denies any other symptoms. View the x-ray taken and consider what your diagnosis and next steps would be.
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A 79-year-old male with past medical history of hypertension and coronary artery disease presents to urgent care with left shoulder pain that is worse with movement. He reports intermittent nausea and vomiting, but denies dizziness, chest pain, shortness of breath, or history of trauma. View the ECG 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 32-year-old immunocompetent male presents with fever, cough, arthralgia, and photophobia for a few days. On examination, he had a temperature of 100°F (37.8°C) and conjunctival injection. There was a widespread erythematous macular rash on his wrist. When asked about travel, the patient mentioned that he recently visited his family in the Dominican Republic. During his travels, he drank local water and sustained a few mosquito bites. His symptoms began approximately 4 days after his …
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The patient is a 42-year-old male who presents with nose and facial swelling after being kicked in the face while wrestling with his teenage son. View the images 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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An 83-year-old female with past medical history of congestive heart failure and atrial fibrillation presents to urgent care with confusion and syncope. She reports intermittent dizziness, but denies chest pain or shortness of breath. There is no evidence of trauma on exam. View the ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. (Case presented by Jonathan Giordano, DO, MEd, McGovern …
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