A 65-year-old widow presented with a mass on her right breast and complaints of generally not feeling well.
Dizziness, photophobia, nausea and an unsteady gait develop following a routine annual check up.
A 69-year-old woman presents with night sweats, dizziness, fatigue and chronic pain in the upper abdomen.
Metastatic calcification of the left breast in a patient with renal failure raises suspicion.
A corrections officer came into the primary care office for a routine physical and left with an unexpected diagnosis.
The patient's gait was affected 48 hours after onset and any slight head movement intensified the feeling of imbalance.
Two days after symptom onset, a patient's skin is still mildly diaphoretic, he complains of fatigue and he cannot tolerate food.
A patient presents to the emergency department complaining of pain that originated over the distal tip of the digit.
Tenderness over the hypothenar eminence, swelling and limited flexion also suggest fracture.
A father is rushed to the emergency department after ingestion of a foreign, powderlike substance.
After a high-impact fall, a middle-aged firefighter presents with ecchymosis and fixed flexion in the right arm and hand.
A woman fractured her upper arm in a fall while exercising. A large osteolytic growth was discovered on x-ray.
The patient's symptoms indicated that lumbar puncture was required to rule out a meningitis diagnosis.
Imaging was ordered when the patient's clinician could not palpate her ovaries.
After vacationing on a houseboat, a woman could not stop feeling like she was rocking, especially when walking.
A Fite stain leads to the correct diagnosis of these lesions in a man originally from Micronesia.
Suddenly unable to remember the year or the president's name, an otherwise healthy man is admitted for observation.
After initial treatment, the rash left a hypopigmented patch.
A specialist recommended placement of an implantable cardioverter-defibrillator, but the patient chose to wait and see.
After developing pancreatitis, the patient was admitted to the hospital and the tumor removed.
What first appeared to be infectious esophagitis ended up being a lifelong diagnosis for a young woman.
Respiratory problems lead to neurologic damage for the child and financial ruin for the family.
The patient's family practitioner advised a multivitamin with iron, but she did not comply.
Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.
Over a period of three years, the patient's writing worsened, and she had trouble seeing some colors.
The boy had no history of pain, rapid growth, or trauma-associated local or systemic abnormalities.
The patient first suspected wax was the culprit and underwent an MRI to rule out a benign tumor.
Dietary supervision may have driven the patient out of his facility
Spontaneous hemiparesis, headache, and involuntary eye movements in a healthy young man raise diagnostic questions.
The man's widespread lesions did not respond to several therapies, including topical corticosteroids.
Nothing offered more than temporary relief for the aching, constant pain, which was unaccompanied by other symptoms.
Despite a normal exam three months earlier, skin changes and palpable lumps in the axilla were noted.
First diagnosed with Alzheimer's and Parkinson's, the patient could not tolerate antipsychotic meds.
Rocky Mountain spotted fever was suspected, but that disease is not endemic to Central America.
Ms. L, 34 years old and para 1 gravida 2, presented to the emergency room one evening following a four-day battle with "the flu." She became concerned after experiencing increasing pain in her left flank and pelvic area. On questioning, she recounted being constipated and very nauseated.
The man's heretofore unknown neurologic condition calls the original diagnosis into question.
After taking all her pills at once, the patient developed dysphagia. But the meds weren't to blame.
Originally diagnosed with cellulitis, the pain, swelling, and redness worsened considerably over the next three days.
Used correctly, liquid nitrogen is safe, but defective equipment and inadequate monitoring can cause complications.
Four weeks after the accident, the patient was still in severe pain and reported urinary frequency.
Had the patient agreed to a biopsy, the diagnosis may have been made sooner.
A misdiagnosis would have led to unnecessary tests and treatment.
After five years of treatment without side effects, his glucose level took off.
The seizures began following surgery to repair a cerebrospinal fluid leak.
The patient's physical and psychological discomfort upset every aspect of his life.
Could the mother's religious custom of wearing a full veil at all times have played a role in the child's illness?
The symptoms began 10 days after the accident. Steroids provided no relief, and diagnostic tests were inconclusive.
Upper respiratory infection triggers complications in a healthy college student.
A number of diagnostic possibilities are raised, including allergy, asthma, postnasal drip, and reflux.
As a nurse, the patient had access to many informal opinions. Would a proper evaluation have led to a quicker diagnosis?