Journal of Urgent Care Medicine

23-year-old male has persistent wound after crushing finger

The patient is a 23-year-old healthy male presenting for a “wound check” about four weeks after crushing his left fifth finger in a car door. At that time, x-rays were negative for a fracture. He was placed on cephalexin because of a small avulsion of skin on the distal aspect of the finger. Today, you find that the distal aspect of the dermis of the fifth finger has sloughed off. The underlying tissue is pink, …

26-year-old woman with bleeding lesion

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.

Patient experiencing intense pain and redness of skin

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.