A generally healthy 2-year-old child presents to the ED with…

A generally healthy 2-year-old child presents to the ED with pain, swelling and erythema over his left elbow.  He was witnessed falling off a slide in the park one hour earlier.  The caregiver applied ice, but the child continues to express pain with even simply touching the area.  What is your next step as the PA on duty?

A college football player (Lineman) presents to your office…

A college football player (Lineman) presents to your office with a complaint of pain, decreased range of motion and a catching/clicking sensation when he moves his right arm/shoulder.  There is no history of direct trauma.  What is the most likely diagnosis and appropriate test to order to diagnose it?

An 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?

A 26-year-old female presents with abnormal menstrual cycles…

A 26-year-old female presents with abnormal menstrual cycles, hirsutism, obesity and an inability to become pregnant after one-year of unprotected regular sexual activity.  You suspect an endocrine condition called “Polycystic Ovarian Syndrome” (PCOS) and order a pelvic ultrasound.  What finding supports your suspicions?