Case Challenges

A 19-Year-Old Shooting Victim With Complications Five weeks after polytrauma from multiple gunshot wounds, a 19-year-old man is experiencing diffuse right-sided chest pain and shortness of breath. Can you make the diagnosis?
Clinical Case, July 2019
A 77-Year-Old Retired Teacher With a Constant Headache A 77-year-old retired teacher presents to the emergency department with dizziness, imbalance, nausea/vomiting, and a constant headache for the past 2 weeks. Can you make the diagnosis?
Clinical Case, July 2019
A 12-Year-Old Boy With Falling Grades and Forgetful Behavior A 12-year-old boy with declining grades is disruptive at school, forgetful at home, and upset by tasks that are time consuming or cognitively demanding.
Clinical Case, June 2019
A 45-Year-Old Woman Who Feels 'Like a Zombie' A 45-year-old woman states that she feels 'like a zombie.' She has experienced continued confusion and sedation long after a respiratory illness resolved. Can you make the diagnosis?
Clinical Case, June 2019
A 14-Year-Old Boy With Unexplained, Recurring Fever A 14-year-old boy presents with a 2-week history of unrelenting fever and generalized fatigue. What is the most likely diagnosis?
Clinical Case, June 2019
A 20-Year-Old Woman With Nail Abnormalities and Vomiting A 20-year-old woman presents with flank pain and vomiting, along with periungual fibromas. What's the diagnosis?
Clinical Case, June 2019
A 26-Year-Old Man Who Passed Out at His Work Desk Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found. An ECG is ordered. What is the diagnosis?
Clinical Case, May 2019
A 64-Year-Old Man Unable to Lift His Arm or Walk A 64-year-old man presents with left-sided weakness that has worsened to the point where he cannot comfortably walk or lift his arm. What's the diagnosis?
Clinical Case, May 2019
A 29-Year-Old Woman With Worsening Pain and Memory Issues A 29-year-old woman presents with multiple joint and muscle pain, back pain, and increasing fatigue. She is also suffering from depression, as well as memory and concentration problems.
Clinical Case, May 2019
A 31-Year-Old Woman With Right Arm Tremors A 31-year-old woman has had tremors in her right hand and arm over the past month. She is otherwise in good health and has not needed to see a doctor in years. Can you make the diagnosis?
Clinical Case, May 2019
A 17-Year-Old Athlete in Cardiac Arrest A 17-year-old boy drops to the ground and is unresponsive after being elbowed by a teammate who ran into him. CPR is initiated, and the patient is taken to the ED. What is the likely diagnosis?
Clinical Case, April 2019
A 64-Year-Old Man With Back Pain After Mastectomy A 64-year-old man presents with right lower back pain 7 years after mastectomy for breast cancer. Can you make the diagnosis?
Clinical Case, April 2019
An 84-Year-Old With a Blistering Rash That Is Spreading An 84-year-old woman presents with a blistering rash. The rash began 1 week ago on her right hand, but it has progressed to her arm, upper chest, and abdomen. What's the diagnosis?
Clinical Case, April 2019
Acute Liver Failure in a 64-Year-Old Man A 64-year-old man with a history of chronic obstructive pulmonary disease, alcohol abuse, and depression presents with acute hepatic failure. Can you identify the correct cause?
Clinical Case, March 2019
A 22-Year-Old Man in Pain After Collapsing A 22-year-old man presents after collapsing on a college football field about 45 minutes earlier, after doing several 50-yard sprints. Can you make the challenging diagnosis?
Clinical Case, March 2019
A 32-Year-Old Man Vomiting Blood A 32-year-old man reports having vomited bright-red blood three times during the past 4 hours; the last incident occurred about 1 hour ago. What's the diagnosis?
Clinical Case, March 2019
A 4-Year-Old Girl in Significant Distress A 4-year-old girl develops a swollen leg after admission to the hospital after presenting with frequent urination, excessive thirst, and new-onset enuresis. Can you solve this unusual case?
Clinical Case, March 2019
Sleep Problems and Odd Behavior in a 60-Year-Old Woman A 60-year-old woman reports awakening without feeling rested every morning. Her daughter reports that her mother has also had recent problems with attention and 'losing things.' What's the cause?
Clinical Case, February 2019
A 21-Year-Old Man With Epigastric Pain After a Wild Party A 21-year-old man presents to the ED with a 10-hour history of constant epigastric pain radiating to the chest. X-rays reveal a radio-opaque shadow in the central lower chest. What is the diagnosis?
Clinical Case, February 2019
A 44-Year-Old Man Who Had a Mysterious Accident A 44-year-old white man with a medical history remarkable for hypertension and dyslipidemia presents with fatigue and global weakness. What's the diagnosis?
Clinical Case, February 2019

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