Clinical Challenge

Case Study: Sudden Abdominal Pain

Case Study: Sudden Abdominal Pain

A 90-year-old woman with a history of coronary disease and gallstones presents to the emergency department with generalized abdominal pain that started suddenly about 7 hours prior.

Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease

Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease

A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.

Case Study: Mottling and Infection in an Adult

Case Study: Mottling and Infection in an Adult

A 44-year-old woman presents to her local emergency department after 5 days of persistent fever, productive cough, and worsening dyspnea on exertion.

Case Study in Diabetes: Fungal Infections

Case Study in Diabetes: Fungal Infections

A 68-year-old patient with type 2 diabetes presents to a urologist to evaluate funguria, and a CT scan showed right hydroureteronephrosis.

Case Study: Headache, Back Pain, and Fever

Case Study: Headache, Back Pain, and Fever

A 25-year-old woman presents to the emergency department with a chief complaint of headache, back pain, and fever, while also experiencing some vaginal itching and discharge.

Case Study: Worsening Dyspnea in a Pregnant Woman

Case Study: Worsening Dyspnea in a Pregnant Woman

A 32-year-old woman, diagnosed several months earlier with pulmonary arterial hypertension, presented to the emergency department with dyspnea and near syncopal episodes.

Case Study: Chest Pain and Shortness of Breath in a Patient with Colorectal Cancer

Case Study: Chest Pain and Shortness of Breath in a Patient with Colorectal Cancer

A 64-year-old woman who was recently diagnosed with colorectal cancer is brought to the emergency department with substernal chest pain and shortness of breath.

Case Study: Syncope, Dizziness, and Fatigue on a Camping Trip

Case Study: Syncope, Dizziness, and Fatigue on a Camping Trip

A 52-year-old man presents to the emergency department with dizziness and fatigue after a syncopal episode on a camping trip.

Case Study: A gradually progressive rash after a URI

Case Study: A gradually progressive rash after a URI

A 33-year-old man presents to the emergency department for 6 small spots on his chest, arms, and legs that gradually grew in diameter after using a topical cream and cephalexin.

Case Study: Dizziness in a 42-year-old man

Case Study: Dizziness in a 42-year-old man

A 42-year-old man presents to the emergency department with vertigo that is worse with head motion as well as vomiting, but has no headache or abdominal pain.

Case Study: Lower extremity edema and heart failure in a middle-aged woman

Case Study: Lower extremity edema and heart failure in a middle-aged woman

A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.

Case Study: Foot pain after jogging

Case Study: Foot pain after jogging

A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain. She states that she tweaked it while jogging. The pain is localized to the lateral portion of her foot.

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.

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