CHAPTER 110 Finger Sprain (PIP Joint) Presentation During a sports activity or a fall, the patient’s finger is jammed or hyperextended, resulting in a painful, swollen, possibly ecchymotic proximal interphalangeal…

CHAPTER 167 Fire Ant Stings Presentation Usually the patient has experienced multiple burning stings (the “fire” in fire ant) and is seeking help because of local swelling, itching, and/or pain….

CHAPTER 150 Pencil Point Puncture Presentation The patient presents after being stabbed or stuck with a sharp pencil point. He may be openly or unconsciously worried about lead poisoning. A…

CHAPTER 111 Fingertip (Tuft) Fractures Presentation The patient seeks help after a crushing injury to the fingertip, such as catching it in a closing car door. The finger tip will…

CHAPTER 141 Foreign Body Beneath Nail Presentation The patient complains of a paint chip or wooden sliver under the nail. There may be only mild discomfort, but frequently there is…

CHAPTER 33 Nasal Fracture (Broken Nose) Presentation After a direct blow to the nose from a fight, fall, sports injury, or motor vehicle crash, the patient usually arrives at the…

CHAPTER 175 Pityriasis Rosea Presentation Patients with this rash often seek acute medical help because of the worrisome sudden spread of a rash that began with one local skin lesion….

CHAPTER 60 Uvular Edema, Acute Presentation The patient complains of a foreign body sensation or a lump or fullness in the throat, possibly associated with a slightly muffled voice and…

CHAPTER 127 Polymyalgia Rheumatica Presentation An elderly patient (more commonly female) complains of aching pain and stiffness of the proximal extremities. Shoulder pain and stiffness are most common, followed by…

Figure 41-1 Aphthous ulcers. A gray-white oval ulcer with a bright red margin is typical. These lesions are usually quite painful. (From White G, Cox N: Diseases of the skin,…