Clinical Challenge

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.

Weak and dizzy spells in a patient after gastric bypass surgery

Weak and dizzy spells in a patient after gastric bypass surgery

A patient came to the clinic to discuss her dizzy spells 4 years after her Roux-en-Y gastric bypass surgery.

Cultural considerations in diabetes: controlling HbA1c in a patient observing Ramadan

Cultural considerations in diabetes: controlling HbA1c in a patient observing Ramadan

A patient with type 2 diabetes is undergoing dialysis and needs to control his HbA1c levels while fasting during Ramadan.

An unusual cause 
of respiratory distress in an infant

An unusual cause 
of respiratory distress in an infant

A congenital condition is found in an infant with respiratory and gastrointestinal symptoms.

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