CHAPTER 100 Boxer’s Fifth Metacarpal Fracture Presentation The patient seeks help for painful swelling of the hand over the distal fifth metacarpal (MC) after punching an object or another person…

CHAPTER 117 Ligament Sprains (Including Joint Capsule Injuries) Presentation Ligament strains occur when a joint is distorted beyond its normal anatomic limits (as when an ankle is inverted or a…

CHAPTER 158 Traumatic Tattoos and Abrasions Presentation The patient has fallen onto a coarse surface, such as a blacktop or macadam road. Most frequently, the skin of the face, forehead,…

CHAPTER 135 Ulnar Collateral Ligament Tear of the Thumb (Ski Pole or Gamekeeper’s Thumb) Presentation The patient fell while holding onto a ski pole, banister, or other fixed object, forcing…

CHAPTER 128 Radial Head Fracture Presentation A patient has fallen on an outstretched hand and has a normal, nonpainful shoulder, wrist, and hand, but, on careful examination, he has pain…

CHAPTER 176 Pyogenic Granuloma or Lobular Capillary Hemangioma (Proud Flesh) Presentation Often there is a history of a laceration or minor trauma to the skin or mucous membrane several days…

Figure 66-1 With the patient in prone jackknife position, a posterior acute anal fissure is visible once the buttocks are separated. (Courtesy Richard P. Billingham, MD, Seattle, Wash.). What To…

CHAPTER 31 Laryngotracheobronchitis (Croup) Presentation A child, most often between the ages of 3 months and 3 years (peak incidence 1 to 2 years, but can be seen up to…

CHAPTER 20 Iritis (Acute Anterior Uveitis) Presentation The patient usually complains of the onset over hours or days of unilateral eye pain, blurred vision, and photophobia. He may have noticed…

CHAPTER 116 Lateral Epicondylitis and Medial Epicondylitis (Tennis Elbow, Golfer’s Elbow) Presentation In lateral epicondylitis, the patient complains of pain in the lateral elbow that frequently radiates down the lateral…