The patient is a young child with three days of constipation with a non-specific history of abdominal pain. On exam, the child is asleep. The abdomen is easily palpable and soft. Physical exam reveals no other remarkable factors. View the x-ray taken and consider what your diagnosis and next steps would be.
Read More23-year-old woman covered in dark, blistering "bruises"
The patient is a 23-year-old white woman with a medical history significant for asthma as a teenager who presents with “bruising on her legs and belly.” The patient reports that the affected areas became red and started \”stinging\” approximately three weeks ago, accompanied by “some small blisters.” At the time, she attributed the symptoms to sunburn. Gradually, however, the areas evolved into darker \”bruises\” that have now been present for about two weeks. She denies …
Read More13-year-old male injures hand while bracing fall
The patient is a 13-year-old male who presented to urgent care after taking a fall while running; he landed on his outstretched left hand. Upon examination, you find tenderness in the snuffbox and observe swelling around the wrist. Otherwise, the findings are unremarkable. View the x-ray taken and consider what your next steps would be.
Read MorePatient with recurring sharp pain in left eye
The patient is a man who presents to the urgent care center after waking in the morning with a sharp pain and a feeling of \”something grainy\” in his left eye. Upon examination, you find diffuse redness of the sclera and conjunctiva, as well as tearing. Additionally, the patient appears photophobic. You are unable to assess visual acuity because he has left his contact lenses out and does not have glasses. Fluorescein examination reveals no …
Read More2 1/2-year old has swollen elbow after falling
The patient is a 2½ -year-old female who presented after falling, unobserved, from an unknown height with tenderness and swelling around the elbow. Neurovascular exam was normal. View the image taken and consider what your diagnosis would be.
Read More25-year-old man with back pain after falling 2 stories
The patient is a 25-year-old male who presented to urgent care after falling from a height of two stories, landing flat on his feet. He is able to ambulate, though only with pain. In addition, he complains of back pain. He is generally healthy, and no neurological deficit was found. View the image taken and consider what your diagnosis would be.
Read More17-year-old male with quickly spreading rash
The patient is a 17-year-old male who awoke with intensely itchy scattered vesicles over his arms, face, and legs the day after returning from a camping trip. Additionally, his right eye was edematous and nearly swollen closed. He reported that over the course of the day, the rash seemed to get worse and spread to more areas on his body. View the image taken and consider what your diagnosis would be.
Read More3-year-old female with foot pain after fall
The patient is a 3-year-old female who presented after a fall while running, complaining of pain over the foot. There was minimal local tenderness over the foot and minimal limp, but no other remarkable findings. View the image taken and consider what your diagnosis would be.
Read More36-year-old woman experiencing postnatal back pain
The patient is a 36-year-old obese woman who presented with upper right back pain 10 days after a normal child birth. Pain is worse on coughing. Otherwise, she is fit and well. Upon examination, you find: No shortness of breath Normal oxygen saturation Patient is afebrile Auscultation: Reduced breathing sounds in right base, fine crackles on right View the image taken and consider what your diagnosis would be.
Read More53-year-old woman with limited motion and pain in knee
The patient is was a 53-year-old female who experienced a fall, landing on her knee, several hours before presenting. Her knee is stable and she is able to bear weight on the affected leg, though there is mildly decreased range of motion due to generalized pain in the area. You note that the pain is not over the patella, however. There is no fluid in the knee. View the image taken and consider what your …
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