Parents bring their obese 12-year-old son into your clinic. …
Parents bring their obese 12-year-old son into your clinic. They state he has been limping and complaining of increasing left hip and groin pain, with some radiation to the knee. They have to fly to Samoa soon for a family wedding and hope to have the problem fixed before they leave. What condition appears to be present in the patient’s plain film below?
Read DetailsAn elderly obese male patient presents with a complaint of s…
An elderly obese male patient presents with a complaint of stiffness of the fingers, hip and knees along with pain on movement which is worse in the morning and worsens with weight bearing activities. Which of the following X-ray findings supports the diagnosis of osteoarthritis?
Read DetailsA 36-year-old female patient presents complaining of menorrh…
A 36-year-old female patient presents complaining of menorrhagia and pelvic pain during her menses for many years. The main concern is a leiomyoma. Which of the following modalities could be the preferred imaging study of choice?
Read DetailsA 55 year old male with PMH of HTN reports malaise and cough…
A 55 year old male with PMH of HTN reports malaise and cough for 5 days. Patient is not sure if he has had any fever, but reports some chills. Patient reports the cough is slightly productive, but not sure of the sputum type. Patient reports he also has nasal congestion, which has improved somewhat. Patient reports the cough is keeping him up at night and his lower chest and abdominal muscles hurt with the cough. Patient also reports some shortness of breath with exertion, but denies exertional chest pain. Patient denies nausea, vomiting, diarrhea or leg swelling. On exam, patient is well developed overweight male, in no apparent distress. Trachea midline, no JVD. Chest expansion is symmetric, anterior:lat diameter is 2:1. On auscultation, lungs with rales in middle field of the Rt lung heard posteriorly, but no wheezing or rhonchi. S1 and S2 with no murmurs, rubs or gallops. No leg edema. The rest of the exam is unremarkable. VS: BP: 135/95 sitting Rt arm; HR: 105 bpm; R: 20 breath per minute; T: 100.7F oral; Pulse Ox: 95% on Room Air. Please provide differential diagnosis for this presentation (list at least 5) AND what imaging would be indicated for this case.
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