70-year-old female is admitted to the ortho unit following a motor vehicle crash as the restrained driver. Injuries sustained include fractured right hip, left radial compound fracture, grade 1 liver laceration, and multiple contusions and lacerations. Surgery yesterday for external fixation to left radius. Plan to return to OR tomorrow for right hip repair. 48 […]

Donna is in the third trimester of her pregnancy and presents to the clinic with complaints of a left facial droop. Yesterday, she developed left ear pain that occurred suddenly. She assumed that she has an “ear infection” but awoke this morning with the appearance of a left facial droop. She denies all other focal […]

Jennifer is a 35-year-old G1, P1 who gave birth by emergency cesarean 2 weeks ago, to a 7-b 6-oz baby boy. She has come to the OB clinic for her 2-week follow-up visit and is accompanied by her husband and her mother. Jennifer appears tired, her color is pale, and she has dark circles under […]

A 59-year-old patient comes to the local ER with a swollen, tender knee that started yesterday. He returned home two days ago from a five-day hike on the Appalachian Trail. He reports no recent or previous injury to the knee and any history of previous inflammatory joint disease. Vital signs: temperature is 36.5 °C (97.7 […]

You are seeing a 19-year-old who suffered a knee injury playing soccer one day ago. The injury involved a sudden deceleration in which she planted her right foot in front of her while running, whereupon another athlete fell against her shin. She felt a pop and sudden pain. She had to be helped off the […]

A 51-year-old comes to you with acute pain and swelling of the knee. Joint fluid analysis confirms the diagnosis of acute gout. She has a past medical history of atrial fibrillation, hypothyroidism, hypertension, and prior treatment for H. pylori infection. Her current medications include losartan, warfarin, levothyroxine, and omeprazole. She is allergic to penicillin medications. […]