A 54-year-old male presents to the emergency department afte...

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A well-educated nurse is seeking a third opinion regarding her 4-year-old daughter with right ankle pain. She states her daughter has sprained her ankle 15 to 20 times over the past year. She insists her daughter has a diagnosis of tarsal coalition that requires immediate surgery. She is also due to see a neurologist for a second opinion regarding unwitnessed seizure activity, despite reassurance from the last subspecialist that the child is healthy. The examination of the right ankle was normal. Radiographs of the foot and ankle are seen in Figures A and B. What would be the next best step in treatment?

An American orthopedic surgeon meets with an attorney becaus...

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A 29-year-old female presents to the clinic as a referral fr...

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A 7-year-old boy presents with right elbow and left wrist swelling for the past 3 months. Clinical photos of the elbow and wrist are shown in Figures A and B, and radiographs in Figures C and D. His parents report that he has had night sweats and a loss of appetite, and physical examination is notable for bilateral axillary lymphadenopathy. Leukocyte count is normal but the ESR is elevated. The child undergoes a diagnostic biopsy shown in Figure E. What is the most likely diagnosis?

A 69-year-old male presents to the emergency room with low back pain for 1 week duration. His past medical history is significant for diabetes and coronary artery disease that was treated with stenting 7 years prior. Recently he was hospitalized for a urinary tract infection which was treated with oral antibiotics. On physical exam he is afebrile and has no neurologic deficits in his lower extremity. Laboratory studies show a white blood cell count of 10,300/mm3, an erythrocyte sedimentation rate of 35 mm/h (reference range, 0-25 mm/h), and C-reactive protein of 13 mg/L (reference range, 0-5.0 mg/L). A radiograph and MRI are performed and shown in Figure A and B respectively. Repeat blood cultures x2 are performed and both show methicillin-sensitive Staphylococcus aureus. What is the most appropriate next step in treatment.

A 62-year-old male with a BMI of 31 is planned to undergo an...

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A 53-year old female presents to your community hospital with right shoulder pain of 2 weeks duration, night sweats, and loss of appetite. Her past medical history is significant for hypertension only. A radiograph is performed and is shown in Figure A. What is the most appropriate next step in management.

Figure 85 is the radiograph of a 3-year-old boy whose chief ...

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An 8-year-old male initially presents to the ER with 2 days ...

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You are giving a lecture to a group of medical students on orthopedic issues encountered in the emergency department. You discuss a number of bony and soft tissue urgencies/emergencies. When discussing the management of necrotizing fasciitis, which is true of its initial treatment?

A 37-year-old male presents to your office for a second opin...

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An 18-year-old male presents with for evaluation of axial ba...

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Patient A is a 62-year-old female presents for evaluation of left knee pain. Radiographs reveal end-stage knee arthritis. Her past medical history is significant for a disease in which there is an IgM antibody against native IgG antibodies. She undergoes total knee arthroplasty. Compared with a similar patient (Patient B) with end-stage osteoarthritis of the knee, which of the following is true regarding postoperative complications?

A 70-year-old female presents to your office with a chief complaint of left thigh swelling and aching pain for several months. She denies any recent trauma or illnesses. She has a significant medical history of hypertension and cardiac catheterization in the past. X-ray and MRI images are shown in Figures 1 through 3. The patient undergoes core-needle biopsy through a lateral approach with pathologic examination showing necrotic tissue. What would be the best next step in diagnostic workup?

A 23-year-old male presents with right thigh pain that has worsened over the last 6 weeks. He reports frequent low-grade fevers and decreased energy. Current radiographs are depicted in figures A and B. His current ESR is 73 mm/hr and CRP is 23 mg/L. Which of the following findings would suggest the need for surgical treatment?