Case Challenges

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
A 25-Year-Old Mother With Joint Pain Who Feels Faint A 25-year-old presents with lightheadedness, dyspnea, vague joint aches, and fatigue. Her husband recalls that she had an itchy rash after playing outside with their kids. What's the diagnosis?
Clinical Case, March 15, 2021
A 42-Year-Old Office Assistant With Chronic Leg and Back Pain A 42-year-old woman presents with a history of chronic leg and lower back pain lasting several years. A CT scan reveals unexpected findings. Can you make the diagnosis?
Clinical Case, March 05, 2021
Blackout at Rest and Slurring in a Man Afraid of COVID-19 A 62-year-old has had palpitations at rest, accompanied by dizziness and a blackout. He attributed the episodes to stress from the COVID-19 pandemic and had not sought medical attention. What's wrong?
Clinical Case, March 03, 2021
Chronic Gastritis, a Lesion, and Weight Loss in a Teenager A 13-year-old boy presents with a history of epigastric pain, vomiting, malaise, polyuria, and a 12-lb weight loss during the past 3 months. What's the diagnosis?
Clinical Case, February 19, 2021
Clitoromegaly, Amenorrhea, and Hair Loss in a 32-Year-Old A 32-year-old woman presents with hair loss on her scalp and a deepening voice. Her medical history includes hypertension. A pelvic examination reveals clitoromegaly. What's the diagnosis?
Clinical Case, February 18, 2021
A Daily Beer Drinker With Agonizing Gas and Back Pain A 47-year-old man has had intermittent, gaslike epigastric pain for a week. This morning, the pain worsened and now radiates from his upper abdomen to his back. What's the diagnosis?
Clinical Case, February 09, 2021
A Former Cocaine User Whose Specialist Told Her She's Dying A woman who quit heavy cocaine use 3 years prior presents to the ED saying, 'My kidney doctor told me that if I do not come in here, I'll die!' She is asymptomatic. Can you make a diagnosis?
Clinical Case, February 02, 2021
An Incoherent 13-Year-Old With Nocturnal Enuresis and Fever The parents of a 13-year-old boy bring him to the emergency department. He is rolling his head and seemingly unaware of his surroundings. He has a fever and has been "acting strange." What's wrong?
Clinical Case, January 20, 2021
Abnormal Eye Movement and Agitated Delirium in a 26-Year-Old A 26-year-old woman presents with confusion, agitation, sweating, and abnormal involuntary eye movement (diaphoresis and ocular clonus). What's the diagnosis?
Clinical Case, January 20, 2021
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

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