Practice Management
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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The patient is a 16-year-old girl who received a blow to the right hip when she fell in her bathroom at home. She is able to ambulate, albeit with great pain and guarding of her right leg. Her vital signs are stable. View the x-ray taken and consider what your diagnosis and next steps would be.
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A 44-year-old black male presents to the urgent care center complaining of worsening shortness of breath. On examination, the patient exhibits a dry cough, but his lung sounds are essentially normal. The patient\’s temperature is 100.3°F, and his vital signs are within normal limits. The only remarkable finding is papules seen at the rim of his nose. View the photo taken and consider what your diagnosis and next steps would be.
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The patient is a 10-year-old boy who experienced a direct blow to the elbow approximately six hours prior to presentation.He had incomplete range of motion with minimal local swelling and considerable pain. View the image and consider what your next steps would be.
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