Practice Management
The patient is a 3-year-old girl who fell from a bicycle, receiving a blow to the elbow a short time before presentation. You note marked swelling and local tenderness over the elbow. The only other remarkable finding is a pulse of 132. View the x-rays taken and consider what your diagnosis or next steps would be.
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The patient is a 51-year-old male with uncontrolled type 2 diabetes who presents with a painful, raised, pruritic rash that began after an afternoon of gardening eight days ago. In the interim, he self-treated with over-the-counter topical hydrocortisone 1 percent without relief. View the photo and consider what your diagnosis or next steps would be.
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The patient is a 9-year-old girl who presents after experiencing a fall and a blow to her right chest. She complains of pain on deep breathing. On exam, you find a pulse of 103, and SAT of 96. She is not in respiratory distress; her chest exam is clear. She has an abrasion over her right chest. The patient is generally healthy, is on no medications, and has no significant past medical history. View the …
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The patient is a 32-year-old female who presents complaining of a fever and a rash, along with a sore throat, headache, and fatigue. On clinical examination, you note vesicles on the palms and soles. An erosion is present at the labial mucosa. A small vesicle is present on the hard palate. The patient\’s temperature is 100.5°F. Her blood pressure and vital signs are within normal limits. View the photos and consider what your next steps …
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The patient is an 8-year-old boy whose mother brings him in with an acute, pruritic rash involving the inferior abdomen. On examination, you find a large, scaly plaque at the midline of the inferior abdomen. You observe the child scratching during the exam. View the image and consider what your next steps would be.
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The patient is a 26-year-old male who slipped and twisted his left ankle. He is unable to bear weight on the ankle and there is marked local swelling circumferentially around the ankle. Otherwise, he is generally healthy. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 10-year-old boy who received a blow to the forearm when he fell at home. He presents with local swelling and tenderness on exam, complaining of severe pain in his wrist. View the x-rays taken and consider what your diagnosis and next steps would be.
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The patient is a 53-year-old woman who presents with a red plaque on her calf. She reports that she first noticed it two months ago. You find that the plaque is non-pruritic and asymptomatic. The patient, who is in good general health, admits no new medications and says that none of her family members have a rash or skin lesion of any kind. View the images and consider what your next steps would be.
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The patient is a 14-year-old who took a fall two hours before presenting. The left ankle is swollen, painful, and unable to bear weight, but the patient is otherwise healthy. Further examination reveals nothing remarkable. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 33-year-old homosexual male who presents complaining of new lesions on his lips. The patient reveals that he recently engaged in sexual relations with a new partner. Other than concern over the new lesions, he feels well and you find that his vital signs are normal. On examination, you find no skin lesions other than those at the mucosal aspect of the lips, where there are dozens of asymptomatic, superficial papules ranging …
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