What's the Diagnosis? By Dr. Patrice Baptista
29 y/o female presents to the ED w/ L wrist pain.
29 y/o female presents to the ED w/ L wrist pain.
A 50 yo M with no PMHx presents to the ED with knee pain after falling from standing height.
A 40 yo M presents to the ED with R wrist pain. Onset was just before arrival when he was lifting at work, "felt a pop" and had sudden onset of pain. Exam reveals swelling and tenderness of the R wrist. Neurovascular exam is normal. A R wrist xray is done and shown below. What's the diagnosis? (scroll down for answer)
Answer: Scapholunate Dissociation
A 79 yo M w/ past medical history of HTN and DM presents with a 3 day history of lower back pain.
A 17 yo F with no PMHx presents to Urgent Care w/ L sided chest pain. Pain sharp, radiates to L upper back, has been intermittent x 1 month, worse x last 2-3 days. No exacerbating or relieving factors. She denies fever/chills, cough/URI sx, LE pain/edema. No prior hx of DVT, no OCPs. On exam, she is anxious appearing. She is tachycardic to the 120s with normal heart sounds. Spo2 is 100% and breath sounds are diminished on the left. A CXR is done and shown below. What's the diagnosis?(scroll down for answer)
A 44 yo M presents to the ED w/ L foot and ankle pain. He was running and stepped into a hole, stating he heard a "crack". He has been unable to bear weight since the injury. On exam, he has swelling and marked bony tenderness of both the lateral and medial malleoli and heel. Xrays of the L foot were obtained. What's the diagnosis? (scroll down for answer)
A 55 yo M presents to the ED w/ thumb pain following an MVC. He states his car spun out of control and he felt the steering wheel slam into the webspace between his thumb and 2nd digit. Pain and swelling have worsened since the time of the accident. An xray is done and shown below. What's the diagnosis? (scroll down for answer)
Answer: Carpometacarpal dislocation of first digit
A 4 yo M presents to Urgent Care with R shoulder pain after a fall off his bed. Father denies any head trauma or other injury. On exam, he has decreased ROM at the R shoulder and tenderness and ecchymosis along the distal/mid clavicle. Neurovascular exam is normal. An xray is done and shown below. What's the diagnosis? (scroll down for answer)
A 14 yo F with no past medical history presents to the ED after acute onset of headache, nausea/vomiting and change in mental status.
A 55 yo F with a history of untreated hypothyroidism presents to the ED with fatigue, SOB, abdominal distension and lower extremity edema.
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