Clinical Challenge

Case Study: Diarrhea and rash

Case Study: Diarrhea and rash

A 60-year-old man with a history of gastroesophageal reflux disease presents to the emergency department with 2 to 3 days of fever, non-bloody diarrhea, and a worsening non-pruritic rash.

Case Study: Sore throat and bruises

Case Study: Sore throat and bruises

A 32-year-old woman presents to an urgent care clinic with a sore throat, subjective fever, and abnormal bruising.

Case Study: Cardiac conditions of rheumatoid arthritis

Case Study: Cardiac conditions of rheumatoid arthritis

A 69-year-old man with no prior medical history presents over the course of several months with new-onset nonspecific joint pain and swelling without evidence of erosions.

Case Study: Headache, neck stiffness, and fever

Case Study: Headache, neck stiffness, and fever

A 55-year-old man with a history of hypertension and migraines is sent by his primary care provider to the emergency department for a spinal tap to rule out meningitis.

Case Study: A subdural hematoma after a fall

Case Study: A subdural hematoma after a fall

A 65-year-old Hispanic man presents to the emergency department via EMS after an unwitnessed fall from a presumed standing height.

Case Study: Abdominal pain, distention, and constipation

Case Study: Abdominal pain, distention, and constipation

A 64-year-old man presents to the emergency department with abdominal pain and distention, as well as constipation of 8 days' duration.

Case Study: Leg pain, nausea, and malaise

Case Study: Leg pain, nausea, and malaise

A 39-year-old man presents to the emergency department with 3 days of progressive bilateral leg pain, nausea, and malaise.

A faster heart rate and numbness: Is the patient having a heart attack?

A faster heart rate and numbness: Is the patient having a heart attack?

A 30-year-old woman presents with an increased heart rate, shortness of breath, and tingling in her right arm.

Shaky, jerky eyes in an 8-week-old infant

Shaky, jerky eyes in an 8-week-old infant

An 8-week-old infant, presents to primary care with bilateral "shaky, jerky eyes."

Case Study: Fever and low platelets

Case Study: Fever and low platelets

A 66-year-old woman with a history of sarcoidosis and hypertension presents to the emergency department for 4 days with right-sided abdominal pain, vomiting, fever, and mild diarrhea without blood.

Case Study: Hyperglycemia, concern for diabetic ketoacidosis, and type 1 diabetes

Case Study: Hyperglycemia, concern for diabetic ketoacidosis, and type 1 diabetes

A 36-year-old man with type 1 diabetes presents to the emergency room with hyperglycemia and possible diabetic ketoacidosis after not taking his insulin for 3 days.

Case Study in Urgent Care: Head injury

Case Study in Urgent Care: Head injury

A 71-year-old man is brought to the emergency department by his family after he tripped and fell in his backyard 30 minutes before presentation.

An unusual pelvic mass in a 43-year-old woman

An unusual pelvic mass in a 43-year-old woman

A woman who is in generally good health presents with a visibly enlarged abdomen with left-sided dominance and increased pelvic pressure that had worsened.

Case Study: Chest pain radiating into the neck

Case Study: Chest pain radiating into the neck

A 44-year-old man presents to his local urgent care clinic for chest pain radiating up into his neck that is gradually getting worse.

Case Study in Urgent Care: Leg edema and shortness of breath

Case Study in Urgent Care: Leg edema and shortness of breath

A 44-year-old man presents to an urgent care clinic with leg edema and shortness of breath.

Case Study in Diabetes: Use of DPP-4 inhibitors with GLP-1 agonists

Case Study in Diabetes: Use of DPP-4 inhibitors with GLP-1 agonists

A 63-year-old man with type 2 diabetes was admitted to the hospital to undergo right robotic partial nephrectomy.

Fever and sore throat in a child

Fever and sore throat in a child

A 4-year-old girl presents to the emergency department after 3 days of worsening sore throat with a fever.

Case Study: Fever and malaise after international travel

A patient is admitted to the emergency department with complaints of fever, vomiting, headache, back pain, and chills.

Abnormal Pap test follow-up in a 30-year-old woman

Abnormal Pap test follow-up in a 30-year-old woman

A 30-year-old Caucasian woman reports a history of abnormal Pap test results with no other complaints.

Vision changes after bariatric surgery

Vision changes after bariatric surgery

A patient notes concerns with vision difficulty 4 years after undergoing a laparoscopic biliopancreatic diversion with a duodenal switch.

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