Case Challenges

A 47-Year-Old With Diplopia, Limb Tingling, and Imbalance A 47-year-old man presents with diplopia, lower-extremity tingling, and moderately impaired gait. The patient is concerned that normal daily activities are now difficult. Can you make the diagnosis?
Clinical Case, August 03, 2021
A 40-Year-Old Man With Painful, Rupturing Lesions A 40-year-old man presents with recurrent painful nodules on his bilateral buttocks, gluteal cleft, and medial aspect of his upper thighs. The lesions often rupture and scar. What's the diagnosis?
Clinical Case, July 27, 2021
A 53-Year-Old Social Media Worker With Dysphonia and Paresis A 53-year-old woman who works from home on her family's social media business initially presents with abdominal pain. Her condition progresses to include dysphonia and paresis. What's the diagnosis?
Clinical Case, July 20, 2021
After a Wild Party, a 24-Year-Old Has Intense Abdominal Pain A 24-year-old presents with sudden right lower quadrant abdominal pain, nausea, and vomiting. He mentions what he describes as a 'wild' party 4 days ago. What's the diagnosis?
Clinical Case, July 08, 2021
An Accountant Who Loves Aerobics With Hiccups and Incoordination A 34-year-old woman presents to the ED with a 3-day history of right-sided headache. Today, she felt dizziness and burning in her left arm and leg, and she had trouble walking. What is the diagnosis?
Clinical Case, July 02, 2021
A Woman With DVT After a Flight, Anemia, and Bowel Changes A 66-year-old woman with a history of thrombophilia presents with deep venous thrombosis after a plane flight within the continental United States. She is mildly anemic. What's the diagnosis?
Clinical Case, June 29, 2021
A 37-Year-Old Man With Chest Pain and Elbow/Eyelid Papules A 37-year-old man presents with chest pain that started upon exertion but now occurs at rest. He also has yellowish papules near his eye and on his elbows. What's the diagnosis?
Clinical Case, June 25, 2021
A Marijuana User With Sudden Chest Pain Radiating to His Neck An 18-year-old man presents with sudden-onset chest pain in the midsubsternal region, radiating to the neck. What's the diagnosis?
Clinical Case, June 11, 2021
A Farmer With Diffuse Pruritus and a Suntan That Won't Fade A 54-year-old man presents with diffuse pruritus that has lasted 1 week. He is a farmer and spends much of his day outdoors. He notes that his summer tan has not faded. What's the diagnosis?
Clinical Case, June 08, 2021
A 28-Year-Old Writer With Bilious Vomiting After Egg Donation A 28-year-old woman presents after 14 hours of nonbloody, bilious emesis and cramping along her lower abdomen. She develops watery, nonbloody diarrhea after arrival. What's the diagnosis?
Clinical Case, May 28, 2021
A 35-Year-Old Soldier With Galactorrhea and Amenorrhea A 35-year-old woman presents with amenorrhea and galactorrhea over the past 3 months. The patient recently returned from a 6-month deployment with the US Army. Can you make the diagnosis?
Clinical Case, May 24, 2021
A 52-Year-Old Man With a Hole in His Jaw and Alcoholism A 52-year-old-man referred to dentistry for dentures presents with a large opening in the left retromolar area. What's the diagnosis?
Clinical Case, May 17, 2021
A 57-Year-Old Man With a Fever Who Can't Stop Bleeding A 57-year-old man presents with excessive bleeding that won't stop after a dental cleaning procedure. He had a fever 4-5 days earlier but describes no other symptoms. What's the diagnosis?
Clinical Case, May 10, 2021
Abdominal Pain, Anemia, and Oliguria in a Distressed Woman A 70-year-old woman treated for hip fracture, weakness, and chronic atrial fibrillation with a rapid ventricular response is readmitted for urinary retention and tachycardia. What's the diagnosis?
Clinical Case, April 30, 2021
A Sexually Active 29-Year-Old Man With a Weak Urine Stream A 29-year-old man presents with sudden-onset weak urinary stream and feeling of incomplete bladder emptying. He is sexually active with one partner; they do not use protection. What's the diagnosis?
Clinical Case, April 26, 2021
A 51-Year-Old Who Lost Her Job Due to Cognitive Decline A 51-year-old woman has had progressive cognitive decline for 2 years. The initial symptom was memory loss, forgetting conversations, and repeating herself. What's the diagnosis?
Clinical Case, April 19, 2021
Strange Stool Color and Fatigue in a Man With COPD and AF A man presents with worsening dyspnea, fatigue, and a change in the color of his stools. His history includes atrial fibrillation, myocardial infarction, and COPD. Do you know what's wrong?
Clinical Case, April 12, 2021
Painful, Discolored Toes With Sores in a 43-Year-Old Woman A 43-year-old woman presents with a 1-month history of painful, discolored toes. She denies any trauma to her feet, recent illnesses, or surgical interventions. What's the diagnosis?
Clinical Case, April 02, 2021
Pleural Effusion and an Axillary Mass in a Hypertensive Woman A 58-year-old woman with hypertension presents after discovering a new mass in her left axilla. A chest radiograph reveals a possible small pleural effusion. Can you make the diagnosis?
Clinical Case, March 30, 2021
Penis Injury and Hematuria in a Man Who Fell on a Log A 48-year-old man presents after falling onto a log and suffering a direct blow to his perineum and penis. What's the diagnosis?
Clinical Case, March 19, 2021

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