► Failure to thrive
► Trouble feeding
► Intermittent retractions with inspiratory stridor
Hyperextension of the bilateral knees in a 1-day-old neonate • no knee fractures or dislocation on x-ray • Dx?
► Hyperextension of the bilateral knees
► No knee fractures or dislocation on x-ray
► Normal prenatal ultrasounds and lab screenings
► Daily headaches
► Associated nausea
Subacute polyarticular arthralgias • swelling of the ankles and right knee • recent travel to the Dominican Republic • Dx?
► Subacute polyarticular arthralgias
► Swelling of the ankles and right knee
► Recent travel to the Dominican Republic
Sudden-onset rash on the trunk and limbs • morbid obesity • family history of diabetes mellitus • Dx?
► Sudden-onset rash on the trunk and limbs
► Morbid obesity
► Family history of diabetes mellitus
Pain in right shoulder • recent influenza vaccination • history of hypertension and myocardial infarction • Dx?
► Pain in right shoulder
► Recent influenza vaccination
► History of hypertension and myocardial infarction
Leg-length discrepancy • asymmetric gluteal folds and popliteal fossae • positive Galeazzi test • Dx?
► Leg-length discrepancy
► Asymmetric gluteal folds and popliteal fossae
► Positive Galeazzi test
► History of melanoma in situ
► Rib pain
► Five-day fever
► Elevated creatinine levels
► Kidney transplant 10 months prior
► 6-day history of fever
► Groin pain and swelling
► Recent hiking trip in Colorado
► 40-year-old woman
► How could improved provider communication have improved the care this patient received?