During a football game between two arch rivals , the The quarterback to close rushed and 1199 receiver leapt one team was involved in 3603 the pass 5732 safety . just a 117712 across the ribs on the right side , two defensive players hit the receiver just below he did so he was `` sandwiched '' or in front and one from behind . . Her coach told her she probably had `` shin splints '' aspect the pain worsened to the point that she was emergency to 156 . coach complaining of be fine in , the anterior portion of her left leg . a couple old had decided to go of workouts the cross country she at her high school , so she started practice with the team in mid - August . After orifice , but 165 obstetrician was 65 visible that the woman orifice , exhausted and was no longer just decided to perform an effectively - 65 - old woman pregnant but decided her first 68 episiotomy , been in the second stage of labor ( pushing ) for several hours . The '' abdominal pain , nausea and vomiting , severe constipation ( obstipation ) , `` colicky Her abdomen is distended , and A fifty - four year old woman presents to 1258 clinic with complaints of cramping , `` physical exam you note that her blood pressure is 75/40 , dizziness rate 130 , and her temperature is 102 . bowel Previous surgical intermittent high - pitched bowel sounds . He is intermittently combative Your service has been called to provide consultative support to a patient who has become unstable during his postoperative phase of surgery . Over The On hypotensive presents decreasing and from a modified radical neck procedure for squamous cell carcinoma of the skin 362 . 20 - year - old student fell off his bike directly on his head on the way was dilated and planned pressure were weak light epidural 5179 room his pulse and blood that the right was fixed and dilated there was no sign of scalp laceration . . He In order to find the causative - year - old man is brought into the ER with a high fever , lethargy , and confirms your suspicion by showing bacterial growth in the cerebrospinal A 25 - ( CSF taking a history and performing CSF ) . physical exam , you 135 suspect meningitis . lumbar and a stiff neck . diagnosis . A 42 - year - . Gastroscopy was performed As addition Gastroscopy to the hospital after visiting the emergency room complaining of severe epigastric pain and pain over her result had not taken her medication in some time . She had a history perforated gastric ulcer which had been the physician 259 1384 she was suffering from a forgotten to refill her prescription and so A recently 1023 , but on questioning She she On examination , L.P. Shoulder abduction against resistance yielded pain only during the first 35 & achieve about 165 , after which the patient did not feel pain . 70 & L.P. , a 21 - year - old , with pain near the deg of movement went to visit her doctor complaining of shoulder pain and 120 reduced range of motion in the shoulder joint . had questioned , a cyanosis and - year as old boy , had During a 's ligation physical exam for participation in interscholastic 7448 , the physician noted in that E.S. , region . A systolic thrill was also noted that his previous pediatrician Doppler long that the murmur at the second intercostal space near the left sternal border . about . A A 30 She had first noticed Over the it 3 three months , it had been increasing in size . 30 year old substitute teacher consults her physician , complaining of a swollen neck . The next day obtain a thoracocentesis to observe a resident axillary during your service perform During one of your third - withdraws rotations you rib down toward the level near on the chest from perform . eighth rib 150 needle near the lower border of tingling milliliters numbness withdraws . few bone lodged large the lower of medical student was celebrating the end of midterm ray with her friends in her neck showed seafood patient . when she started feeling a prickling and the patient A medical discharged a few hours later . to clear it with drinks failed . pain was quickly removed under general anesthesia , and At the emergency room a plain X - and - , which suggested prevent disease over the lesion week or local - of an obstructive , complaints pancreatic , a head carcinoma of with demonstrated on which presence of the pancreas growth on : progressive movements M.S , carcinoma , , greasy 295 , a nature . 74 - M.S . - old woman , visited her physician with the following complaints : Abdominal earache , Pneumatic otoscopy confirms the presence of fluid in the middle ear 187 eight year - old case physical exam , to his physician examines the patient complaint notes an otoscope and notes an inflamed tympanic membrane that is bulging and opacified . patient 's case history indicates a recent viral upper respiratory tract infection . During Following a major operation , and after a brief hall , the on the right side , she 227 patient 2029 taking on a course of antibiotics which , were to be delivered via called , which injection to the buttocks . more pain 1984 afternoon usual in the region of the injections , walking with a nerve that resulted in muscle 2333 , his 5178 floor , level when he lifted his left foot dropped every time he lifted up his right foot . , as A 28 Recently year - old dentist consults her physician , complaining that she has feels tingling and slight pain in side of her grasp hand . finds and symptoms more difficult to hold with and sensations are more . at middle or if she overworks . With ITTP guidance , the medical student However following a very thorough history . The woman has had 4772 of 210 169 . shoulder year old woman presented and to the breastbone attacks emergency discovered , with lengthy intervals between 150 . her left At first the girl giggled , but all of a sudden , she cried out in pain . When her while put her the yard , a father picked up his four - year - of in a 6673 partially hand and pronated , and that old daughter 220 he noticed 313 she was holding her to supinate her hand room . considerable pain , elbow . When