Practice Management
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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A 26-year-old woman presents to the urgent care center with a bleeding lesion on her finger. The lesion developed in less than a week and was associated with no other symptoms. The patient is on no medications and is otherwise healthy. She reports no prior history of skin disease. View the photo taken and consider what your diagnosis and next steps would be.
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The patient is a 35-year-old Caucasian female who presented with dysphagia and progressively worsening neck pain. No history of injury was reported. Neurovascular exam was normal. View the images taken and consider what your diagnosis and next steps would be.
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This patient presented with a two-hour history of intense pain and redness along the left side of her head and down her left arm. She reported no exposure to unusual foods, plants, or substances, and denied any additional complaints. History and examination reveal no other remarkable findings. View the image taken and consider what your diagnosis and next steps would be.
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The patient is a 10-month-old child who presents with the parents, upon referral by the pediatrician, with a history of three days of pain but no history of trauma. The child refuses to stand, presumably due to pain, and resists crawling. View the x-ray taken and consider what your diagnosis and next steps would be.
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The patient is a 56-year-old man who emigrated from Mexico to Texas two months ago. He first presented about two weeks ago with a dry cough, chest pain, fevers, and night sweats. Chest x-ray showed a focal consolidation. He had received BCG vaccination as a child, so a PPD was not placed. He was started on isoniazid, rifampin, and ethambutol for tuberculosis. Now, he presents complaining of the same symptoms, plus a rash that erupted …
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The patient is an 18-year-old male who jumped or fell from a \”short height\” but landed hard on his heel. He is able to ambulate, but cannot put any pressure on his heel. Examination and history reveal nothing remarkable. View the x-ray taken and consider what your diagnosis or next steps would be.
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