Clinical Challenge Articles

Headache, fever, and joint pain accompanied by a facial rash

Amy Waggner, CFNP January 12, 2010

Was the unusual presentation of this nurse's symptoms caused by a fungal infection or something more common?
 

Memory lapse and sleep disturbance in a depressed alcoholic

Michele D. Tinge, MPAS, PA-C January 04, 2010

Seeking neurologic treatment for fatigue and headaches, the patient's poor liver function pointed in another direction.
 

Blood in the stool raises concerns

Claire Babcock O’Connell, MPH, PA-C November 30, 2009

With no changes in the child's diet, clinicians search for another cause.
 

Fever and chills in a toddler having frequent wetting episodes

Sherril Sego, MSN, FNP November 30, 2009

The child arrived at the emergency department in a clearly distressed state and with an elevated WBC count.
 

Recurrent cellulitis following buttock augmentation

Erica Kass, MD, and Eugene Wong, MD November 03, 2009

The patient's pain and swelling failed to resolve despite previous hospitalization and IV cephalosporin therapy.
 

Statin therapy initiated in a man with hepatitis C and elevated cholesterol

Debbie A Friedrich, MS, ARNP, FNP-BC September 28, 2009

Given a family history of cardiovascular disease, the patient became concerned after an employee health screening.
 

Bradycardia and a pectoralis twitch in a pacemaker patient

Debra Kleinschmidt, PhD, PA, and Giovanni Ciuffo, MD August 31, 2009

Surgery is required for a woman whose right ventricle was perforated by the tip on the lead of her permanent pacemaker.
 

The balance between clinical judgment and a patient's right to choose

Marjaneh M. Fooladi, PhD, WHNP, FNP August 03, 2009

A woman refuses to treat her depression pharmaceutically and relies on herbal remedies—against her clinician's advice.
 

New-onset neck and shoulder pain in an arthritis patient

Yvonne Dunn, MD, and Michelle Mizrachi, MD July 07, 2009

A UTI triggers complications in a patient with two forms of arthritis.
 

Clinician confronts an all-too-common ethical dilemma

Christopher Zipp, DO, and Carman A. Ciervo, DO July 07, 2009

Should the shocking confession of a depressed patient become a discoverable part of the medical record?
 
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