Practice Management
A 55-year-old woman presents to urgent care complaining of pain when she moves her right wrist. She reports the pain began suddenly when she woke up that morning without any known trauma. An x-ray is ordered. Review the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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The patient is a 55-year-old woman who presents with sudden-onset wrist pain in her right wrist. She reports that she is right-handed and played pickleball the day before onset, and that she is an avid bicyclist, but denies falling or experiencing any pain in the course of those activities. She says she “just woke up with it hurting.” View the image taken and consider what your diagnosis and next steps would be. Resolution of the …
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The patient is a 36-year-old man who presents with wrist pain after “hitting it on something.” Further history reveals that he punched a wall in a fit of anger and felt sharp pain immediately. He has no past medical history and takes no medications. View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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The patient is a 28-year-old male with right wrist pain after a boxing match. He reports that he felt “a pop” and immediate pain along the ulnar aspect of his wrist after throwing a punch. He has no past medical history and takes no medications. View the x-ray taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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Figure 1. A 15-year-old boy presents with wrist pain and swelling following a fall onto his outstretched hand. He reports that he slipped on a patch of ice and broke his fall by putting his hand forward. View the image taken and consider your next steps, along with possible diagnoses.
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A 51-year-old male presents to urgent care with wrist pain after stumbling while walking his dog. He recalls landing on his outstretched arm. On exam, there is pain with palpation, and decreased range of motion of the distal wrist. Neurovascular status is intact, and there are no breaks in the skin. View the image taken and consider your next steps, along with possible diagnoses.
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A 35-year-old woman presents to an urgent care center with severe right wrist pain after a fall onto her outstretched hand after tripping on the sidewalk. She has significant pain throughout the range of motion as well as at rest. She has minimal numbness of the fingers. She has no other visible injuries, and on questioning, she reports that she has no elbow, shoulder, head, or neck pain. View the image taken (Figure 1) and …
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A 62-year-old woman presents with left wrist pain that began after she fell onto her outstretched left hand earlier in the morning while walking her dog. She has wrist pain throughout the range of motion, as well as some pain in her hand. She sustained no injuries to her head or neck, and she has no head pain, neck pain, chest pain, or shortness of breath.
Read MoreCase A 56-year-old woman presents after a fall onto her outstretched hand. She has pain with range of motion of the wrist. She has no associated numbness or weakness and reports no other injuries. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreThe Case The patient presented with wrist pain after a fall on an outstretched hand (FOOSH). View the image taken (Figure 1) and consider what your diagnosis would be.
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