You are evaluating a 19 yo female who sustained a traumatic…

You are evaluating a 19 yo female who sustained a traumatic brain injury while playing soccer.  She experienced a brief episode of LOC, has had 3 episodes of vomiting and Glascow Coma Scale two hours after injury is 14.  Which imaging modality is most appropriate for you to order?

A 28 year old male presents for evaluation of severe left te…

A 28 year old male presents for evaluation of severe left testicular pain and swelling that developed over the past two days. Vital signs are unremarkable.  On exam, his left testicle is tender with normal lie.  His right testicle is unremarkable.  The scrotum is painful and edematous. Urinalysis shows 57 WBC/hpf and 14 RBC/hpf. Which of the following is the most likely diagnosis?

A 26 year-old, moderately obese, Caucasian female that is tw…

A 26 year-old, moderately obese, Caucasian female that is two month post-partum presents to the clinic with a concerns of heartburn, flatulence, and anorexia. During her pregnancy she had experienced similar symptoms, but they have become more severe in the last week and she vomited twice. She has intermittent pain in the epigastric and right upper quadrant area. She also thinks she pulled a shoulder muscle as she has an almost constant dull ache there.  Which would be the most helpful diagnostic test at this point to support your primary differential diagnosis?

A 14 year old patient presents to the primary care clinic wi…

A 14 year old patient presents to the primary care clinic with middle abdominal pain, nausea, one episode of vomiting prior to arrival, and decreased appetite. He denies fever or chills but felt “warm” before bed. Last bowel movement was yesterday and normal per patient. Upon physical exam you note active bowel sounds in all quadrants, McBurney’s point tenderness, and generally ill appearing. Based on your exam findings and history, what is the most likely diagnosis?