Practice Management
The patient is a 9-year-old boy who received a blow to the shoulder from a height of approximately 6 ½ feet. He has limited elevation of the arm due to pain. Examination and history reveal no additional factors. View the x-ray taken and consider what your diagnosis or next steps would be.
Read More
The patient is an obese 56-year-old woman who presents with unilateral leg swelling. The area has been weeping for days. On examination, you discover a large erythematous, scaly plaque on the right ankle and lower leg. The patient shares with you that five days earlier she was diagnosed by her primary physician with cellulitis and started on “an antibiotic.” There are no other remarkable findings, and she has no fever. View the photo and consider …
Read More
The patient is a 15-year-old boy who presents with pain in the wrist 40 minutes after stopping a soccer ball with his hand. There is no snuffbox tenderness. View the x-rays taken and consider what your diagnosis and next steps would be.
Read More
The patient is a 76-year-old woman with a one-day history of multiple painful ulcers, with general erythema on the mucosa of the left side of the hard palate of her mouth. On examination, you find that they stop at the midline of the palate. There are no other remarkable findings, but upon questioning the patient reveals a three-day history of fevers and general aches. View the photo and consider what your next steps would be.
Read More
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 More
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 More
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 More
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 More
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 More
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 More