Case Challenges

A 25-Year-Old Woman With a Droopy Eyelid and Double Vision A 25-year-old woman with a throbbing headache developed droopiness of the left eyelid and double vision, which is gradually worsening. Can you make the diagnosis?
Clinical Case, March 20, 2020
Drinking Beer Worsens Nasal Symptoms in a 35-Year-Old Man A 35-year-old man has nasal obstruction and smelling loss. His symptoms worsen after drinking beer and also after using ibuprofen or aspirin. Can you make the diagnosis?
Clinical Case, March 12, 2020
A 46-Year-Old Man With Spine Pain and a Rash A 46-year-old man has diffuse musculoskeletal pain and swollen joints, as well as an erythematous rash in his intragluteal cleft and a scaly rash on his scalp.
Clinical Case, February 26, 2020
A 33-Year-Old Man Suddenly Unable to Stand or Sit A 33-year-old man presents owing to sudden onset of severe vertigo, vomiting, and loss of balance. He is unable to sit or stand without support. Can you make the diagnosis?
Clinical Case, February 14, 2020
An Unvaccinated Girl With Wheezing After Foreign Body Removal A 4-year-old girl with a history of developmental delay is brought to the emergency department by her parents for wheezing. Can you make the diagnosis?
Clinical Case, February 10, 2020
A 40-Year-Old Man With Dizziness, Confusion, and Neuropathy A 40-year-old man is referred for neurologic evaluation after presenting with peripheral neuropathy. He also reports dizziness associated with a 'daydreaming' feeling. What's the diagnosis?
Clinical Case, January 21, 2020
Dyspnea and Night Sweats in a 46-Year-Old Man A man presents to the ED with a 5-day history of progressive dyspnea on exertion and mild flulike symptoms. He also complains about night sweats and an intermittent fever. What is the diagnosis?
Clinical Case, January 15, 2020
A 16-Year-Old With Amenorrhea and Delayed Breast Development A 16-year-old girl presents with primary amenorrhea. She reports slow progression of puberty and no significant change in breast tissue over the past 3.5 years. What's the cause?
Clinical Case, January 14, 2020
A 24-Year-Old Man With Ear Pain, Dizziness, and a Rash A 24-year-old man with HIV presents with left ear pain that has lasted for the past 24 hours. He has vomited twice and feels 'dizzy.' What's the diagnosis?
Clinical Case, December 11, 2019
Dyspnea in a 63-Year-Old Who Had Heart Surgery as a Child A 63-year-old man with repaired tetralogy of Fallot and repaired subaortic membrane presents with dyspnea upon exertion. His further medical history is extensive. Can you make the correct diagnosis?
Clinical Case, December 09, 2019
A 23-Year-Old With Blindness After a Fall She Can't Remember A 23-year-old woman is brought to the emergency department after an apparent fall she cannot remember. She also reports blindness in her left eye and lower-extremity weakness. What's the diagnosis?
Clinical Case, November 27, 2019
A 5-Month-Old With Severe Abdominal Distention and Lethargy The parents of a 5-month-old boy rush him to the emergency department because of severe abdominal distention. Can you make the diagnosis?
Clinical Case, November 20, 2019
A 44-Year-Old With a Headache, Photophobia, and Phonophobia A 44-year-old woman presents with an insidious headache along her left occipital region. She also reports photophobia, phonophobia, and lightheadedness. What's the diagnosis?
Clinical Case, November 13, 2019
A 15-Year-Old Girl With Steatorrhea Who Can’t See at Night A 15-year-old, pale-appearing patient presents with an inability to digest food properly. Her symptoms started 3 months ago, with intermittent abdominal cramps. What's the diagnosis?
Clinical Case, November 13, 2019
Persistent Dyspnea in a Woman With Pulmonary Sarcoidosis A 56-year-old woman with a 20-year history of pulmonary sarcoidosis has a 6-month history of progressive and worsening dyspnea. What's the diagnosis?
Clinical Case, October 31, 2019
A 65-Year-Old Man With a Hugely Distended Abdomen A 65-year-old man states that his abdomen has been progressively distending over the past 4 days. He describes decreased appetite, nausea, and mild diffuse pain. What's the diagnosis?
Clinical Case, October 24, 2019
A 16-Year-Old Girl With Severe Abdominal Pain After a Hug A 16-year-old girl presents with severe abdominal pain following a hug. The pain is sharp, constant, intense in the right upper quadrant, and radiates to her right shoulder. What's the diagnosis?
Clinical Case, October 14, 2019
A 59-Year-Old With a Painful Rash and Fingertip Ulcerations A 59-year-old woman first presented with a pruritic and painful rash; however, further disease manifestations continue to emerge. Are you able to make this diagnosis?
Clinical Case, October 11, 2019
An 11-Year-Old Girl With Facial Swelling and Leg Pain An 11-year-old girl has painful, nontender, facial swelling and no history of severe disease or long-term medication use. She has allergies, including nuts and hay fever. What's the diagnosis?
Clinical Case, October 08, 2019
A 58-Year-Old Man With a Rash and Elevated Creatinine Levels A 58-year-old man presents with mild bilateral knee pain and a new rash. He is found to have elevated creatinine levels. Can you make the diagnosis?
Clinical Case, October 02, 2019

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