Journal of Urgent Care Medicine

17-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.

3-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.

36-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.

53-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 …

38-year-old with progressive abdominal pain

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.

30-year-old male in severe discomfort after "twisting" ankle

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.

3-year-old girl with sudden pain in right hip

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. …

55-year-old man with knee pain after fall

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.