A 43 year-old male presents complaining of pain and difficulty walking on his right foot.

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A 43 year-old male presents complaining of pain and difficulty walking on his right foot. He is a businessman and

sits at a desk all day during the week but participates in sports on the weekends. During a volleyball game yesterday, he lunged forward, putting all his wieght on his right foot. He felt and heard a “snap” and noticed pain in his lower calf. On examination, you notice that his calf bulge is greater on the right side than the left. Lying prone with his knees bent 90 agrees, you elicit a normal foot movement when squeezing the left calf but no foot movement at all when squeezing the right. Which injury has this patient most likely sustained?

 
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A 58 year-old women with a history of depression presents complaining of fatigue

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A 58 year-old women with a history of depression presents complaining of fatigue and generalized pain in her arms,

legs, and back that has been waxing and waning in severity for 6 months. She often gets 4 hours of sleep a night because of the pain. The physical examination reveals pain in 12 tender points on her body but no nodules erythema, or swelling of the extremities. ERS,CK,ANA, and TSH are within normal limits. Which of the follwoing is the correct diagnosis?

 
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14 year-old male presents complaining of an upper respiratory tract infection.

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14 year-old male presents complaining of an upper respiratory tract infection. He is prescribed ampicillin but

returns 5 days later complaining of a rash, a fever, malaise, and polyarthralgia. This patient is likely experiencing which of the following?

 
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A 24-year-old man presents 3 weeks after slipping on the ice while playing broom ball

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A 24-year-old man presents 3 weeks after slipping on the ice while playing broom ball. He states that he fell on

his outstretched hand and continues to have wrist pain. On exam he has no obvious deformity of the wrist but is ver tender at the anatomical snuffbox. An x-ray shows a hairline fracture through ta small bone proximal to his thumb. You explain to the patient that he will need a rigid splint. What is the mostly likely complication if the splint fails to immobilze his wrist for a sufficient amount of time?

 
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