Case Challenges

A Weightlifter With Palpitations, Tremors, and Confusion A 28-year-old man who spends hours in the gym almost every day presents with heart palpitations and tremors that progressed to fatigue and confusion over the past 6 months. Can you make the diagnosis?
Clinical Case, January 11, 2021
A Vegan Hiker With a Rash Self-Treated With Coconut Oil A 29-year-old strict vegan and avid outdoors enthusiast presents with a worsening rash on her feet. Topical coconut oil has failed to relieve her symptoms. Can you make the correct diagnosis?
Clinical Case, December 28, 2020
A College Student on Academic Probation Who Urinates in Jars A 19-year-old male college student presents after returning home from college. He has lost substantial weight, has declining hygiene, and has socially withdrawn. What's the diagnosis?
Clinical Case, December 28, 2020
Sudden, Severe Upper Limb Pain and Weakness in a Sleepless Man A 50-year-old man has severe pain in his left shoulder and arm that is aching and burning and keeps him awake at night. He denies trauma or unusual activity. Do you know what's wrong?
Clinical Case, December 14, 2020
A Soccer Player With Sudden Severe Abdominal Pain and Fever A 50-year-old man presents with a 2-day history of fever and persistent left upper quadrant pain resulting from a minor blow to the left upper quadrant. What's the diagnosis?
Clinical Case, December 07, 2020
Dyspnea, Fever, Hemoptysis, and Diabetes in a Tobacco User A woman with uncontrolled diabetes presents with worsening shortness of breath, fever, chest pain, productive cough with hemoptysis, and diarrhea. Can you make this challenging diagnosis?
Clinical Case, December 02, 2020
A Man With Stooped Posture and Mysterious Back and Neck Pain A 53-year-old man with diabetes and hypertension presents with a 6-month history of worsening backache and stiffness. His posture is stooped, with a loss of lumbar curvature. What is the diagnosis?
Clinical Case, November 19, 2020
A 30-Year-Old Man With Hallucinations After a House Party A 30-year-old man is brought by his friend to the emergency department because of hallucinations, vomiting, and paranoia after attending a house party. Do you know what's wrong?
Clinical Case, November 17, 2020
A Barely Responsive Woman Dropped at the ED With a Note A 36-year-old woman is dropped at a hospital entrance, minimally responsive, with a note that read, 'I picked her up at a hotel. She said she was sick.' Can you make this challenging diagnosis?
Clinical Case, November 05, 2020
Dyspnea in a Man Who Was Stuck in a Bathroom for 24 Hours A man was found in his apartment after he blacked out and became wedged between the toilet and the bathtub about 24 hours prior. He now has dyspnea and a headache. Can you make a diagnosis?
Clinical Case, November 04, 2020
A Teenager With Fever Who Can’t Talk After Visiting Mexico A 13-year-old girl presents with 2 months of worsening shortness of breath, malaise, fever, and loose stools after returning from a trip to Mexico. Are you able to make the diagnosis?
Clinical Case, October 30, 2020
A 38-Year-Old Dog Owner With a Blistering, Itchy Rash A 38-year-old man presents with a relapsing pruritic rash on his buttocks. The rash seems to worsen during warm weather. Can you make the diagnosis?
Clinical Case, October 29, 2020
Antibiotic-Resistant Cough and Back Pain in a 63-Year-Old A 63-year-old woman presents with a chronic cough. She was first treated with antibiotics for 2 weeks. The cough improved, and the fever resolved. However, the cough returned. What's the diagnosis?
Clinical Case, October 16, 2020
Rapid Weight Gain in an Excessively Sleepy Girl With Asthma An 8-year-old girl with severe asthma and eczema falls asleep in school nearly every day, despite sleeping 9-10 hours at night. She is also now rapidly gaining weight. Can you make the diagnosis?
Clinical Case, October 09, 2020
Alcohol Abuse and Unusual Abdominal Pain in a 49-Year-Old A 49-year-old man with a medical history of alcohol abuse, tobacco dependence, and pancreatitis presents with abdominal pain that has lasted for 3 days. What's the diagnosis?
Clinical Case, October 02, 2020
A Man With Skin Plaques Has Severe Pain After Eating A 71-year-old man presents with severe pain in the epigastrium. The pain started a day ago, after he ate a large, fatty meal for lunch. What is the most likely diagnosis?
Clinical Case, September 25, 2020
An Enraged 36-Year-Old With Razorblade Slashes on His Arms A 36-year-old man is brought to the emergency department after fighting with his significant other and slashing his forearms with a razorblade. Can you make the diagnosis?
Clinical Case, September 18, 2020
A Woman Whose Husband Died Has New-Onset AF and Fatigue A woman presents with fatigue and new-onset atrial fibrillation. She attributes her symptoms to the death of her husband and drug addiction problems with her grandchildren. What's the diagnosis?
Clinical Case, September 04, 2020
A 25-Year-Old Man With Diplopia and Loss of Body Control A 25-year-old man presents with a 7-day history of gradual-onset, painless diplopia in his left lateral gaze. One year earlier, he had vision loss in his left eye. What's the diagnosis?
Clinical Case, September 03, 2020
An Athletic 37-Year-Old Woman With Suspicious Panic Attacks A 37-year-old woman with a history of anxiety disorder presents with a 'panic attack.' She describes palpitations, racing heart rate, severe dyspnea, and lightheadedness. What's the diagnosis?
Clinical Case, September 01, 2020

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