December 03, 2012
A 65-year-old widow presented with a mass on her right breast and complaints of generally not feeling well.
October 01, 2012
Dizziness, photophobia, nausea and an unsteady gait develop following a routine annual check up.
September 04, 2012
A 69-year-old woman presents with night sweats, dizziness, fatigue and chronic pain in the upper abdomen.
August 01, 2012
Metastatic calcification of the left breast in a patient with renal failure raises suspicion.
April 02, 2012
A corrections officer came into the primary care office for a routine physical and left with an unexpected diagnosis.
March 05, 2012
The patient's gait was affected 48 hours after onset and any slight head movement intensified the feeling of imbalance.
February 01, 2012
Two days after symptom onset, a patient's skin is still mildly diaphoretic, he complains of fatigue and he cannot tolerate food.
January 04, 2012
A patient presents to the emergency department complaining of pain that originated over the distal tip of the digit.
December 06, 2011
Tenderness over the hypothenar eminence, swelling and limited flexion also suggest fracture.
December 05, 2011
A father is rushed to the emergency department after ingestion of a foreign, powderlike substance.
November 01, 2011
After a high-impact fall, a middle-aged firefighter presents with ecchymosis and fixed flexion in the right arm and hand.
October 04, 2011
A woman fractured her upper arm in a fall while exercising. A large osteolytic growth was discovered on x-ray.
October 01, 2011
The patient's symptoms indicated that lumbar puncture was required to rule out a meningitis diagnosis.
September 05, 2011
Imaging was ordered when the patient's clinician could not palpate her ovaries.
August 01, 2011
After vacationing on a houseboat, a woman could not stop feeling like she was rocking, especially when walking.
August 01, 2011
A Fite stain leads to the correct diagnosis of these lesions in a man originally from Micronesia.
July 01, 2011
Suddenly unable to remember the year or the president's name, an otherwise healthy man is admitted for observation.
July 01, 2011
After initial treatment, the rash left a hypopigmented patch.
June 01, 2011
A specialist recommended placement of an implantable cardioverter-defibrillator, but the patient chose to wait and see.
May 03, 2011
After developing pancreatitis, the patient was admitted to the hospital and the tumor removed.
May 01, 2011
What first appeared to be infectious esophagitis ended up being a lifelong diagnosis for a young woman.
April 05, 2011
Respiratory problems lead to neurologic damage for the child and financial ruin for the family.
April 05, 2011
The patient's family practitioner advised a multivitamin with iron, but she did not comply.
April 05, 2011
Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.
April 05, 2011
Over a period of three years, the patient's writing worsened, and she had trouble seeing some colors.
March 01, 2011
The boy had no history of pain, rapid growth, or trauma-associated local or systemic abnormalities.
March 01, 2011
The patient first suspected wax was the culprit and underwent an MRI to rule out a benign tumor.
March 01, 2011
Dietary supervision may have driven the patient out of his facility
February 01, 2011
Spontaneous hemiparesis, headache, and involuntary eye movements in a healthy young man raise diagnostic questions.
February 01, 2011
The man's widespread lesions did not respond to several therapies, including topical corticosteroids.
January 05, 2011
Nothing offered more than temporary relief for the aching, constant pain, which was unaccompanied by other symptoms.
December 01, 2010
Despite a normal exam three months earlier, skin changes and palpable lumps in the axilla were noted.
December 01, 2010
First diagnosed with Alzheimer's and Parkinson's, the patient could not tolerate antipsychotic meds.
December 01, 2010
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.
November 01, 2010
The man's heretofore unknown neurologic condition calls the original diagnosis into question.
November 01, 2010
After taking all her pills at once, the patient developed dysphagia. But the meds weren't to blame.
November 01, 2010
Originally diagnosed with cellulitis, the pain, swelling, and redness worsened considerably over the next three days.
October 01, 2010
Used correctly, liquid nitrogen is safe, but defective equipment and inadequate monitoring can cause complications.
October 01, 2010
Four weeks after the accident, the patient was still in severe pain and reported urinary frequency.
September 01, 2010
Had the patient agreed to a biopsy, the diagnosis may have been made sooner.
September 01, 2010
A misdiagnosis would have led to unnecessary tests and treatment.
August 01, 2010
After five years of treatment without side effects, his glucose level took off.
July 01, 2010
The seizures began following surgery to repair a cerebrospinal fluid leak.
June 01, 2010
The patient's physical and psychological discomfort upset every aspect of his life.
May 01, 2010
Could the mother's religious custom of wearing a full veil at all times have played a role in the child's illness?
April 01, 2010
The symptoms began 10 days after the accident. Steroids provided no relief, and diagnostic tests were inconclusive.
March 01, 2010
Upper respiratory infection triggers complications in a healthy college student.
January 29, 2010
A number of diagnostic possibilities are raised, including allergy, asthma, postnasal drip, and reflux.
January 29, 2010
As a nurse, the patient had access to many informal opinions. Would a proper evaluation have led to a quicker diagnosis?
