Practice Management
The patient is a healthy 38-year-old who presents with progressive abdominal pain. There is no fever, vomiting, or diarrhea. There are no peritoneal signs. Pulse is 55, and blood pressure is 118/50. The only remarkable finding when the history is taken is that the patient had corrective heart surgery as a child. View the image taken and consider what your diagnosis would be.
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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 image taken and consider what your diagnosis would be.
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The patient is a 3-year-old girl who presented to the urgent care center with right hip pain. She has no fever, and the parents report there was no trauma. The child has a limp and reproducible pain on external rotation of the right hip. White blood count is 11,900 with 40.7 lymphs. The erythrocyte sedimentation rate (ESR) is 3 mm/hour. The x-ray shows fluid around the right hip joint; this finding was confirmed by ultrasound. …
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The patient is a 55-year-old man who presented complaining of pain after experiencing a fall on the street and a blow to the knee. View the x-ray taken and consider your diagnosis and next steps.
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