A 5-Year-Old with Foot Pain of Unknown Origin

A 5-Year-Old with Foot Pain of Unknown Origin

A father brings his 5-year-old son to your urgent care center with a primary complaint of pain in his right foot. There was no report of trauma or injury. Dad has noticed the boy limping for the past few days and he points to the right foot. You note swelling in the midfoot area. The boy’s pain is evident as he walks with a limp and has tenderness in the area of swelling on the …

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A 32-Year-Old Male with Pain After Dropping a 20-Pound Weight on his Finger

A 32-Year-Old Male with Pain After Dropping a 20-Pound Weight on his Finger

The patient is a 32-year-old man who presents with pain over the distal phalanx of the middle finger after dropping a 20-pound weight on his finger while constructing a home gym set-up. The skin is unbroken, but pain is evident upon palpation over the distal phalanx of the middle finger. Neurovascular status is intact.               View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case …

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Clinical Challenge: March, 2007

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.

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