Clinical Challenge Archives - Clinical Advisor

Clinical Challenge: Vomiting and Testicle Pain

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December 1, 2022

A patient with a history of HIV presents to the ED with a 3- to 4-week history of vomiting and testicle pain. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Violaceous Rash

By

Brady Pregerson, MD

October 26, 2022

A man with a history of gout presents with a 2- to 3-week history of a gradually worsening rash on both lower legs. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Chest Pain, Shortness of Breath, and Nausea

By

Brady Pregerson, MD

September 28, 2022

A woman in her mid-40s presents to the emergency department with a history of nausea and pleuritic-like chest pain. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Generalized Epigastric Pain and Syncope

By

Brady Pregerson, MD

August 17, 2022

A woman in her mid-50s presents to the emergency department with a history of nonradiating epigastric pain that began 36 hours ago. The patient notes that the pain has become more generalized. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Acute Left Lower Quadrant Pain

By

Brady Pregerson, MD

July 18, 2022

A man in his mid-40s comes to the emergency department with left lower quadrant abdominal pain that is getting worse. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Bilateral Itchy, Watery Eyes

By

Brady Pregerson, MD

March 17, 2022

A 22-year-old woman presents to urgent care for evaluation of a rash around both eyes. The patient notes that the rash is accompanied by slight tearing of the eyes and runny nose. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Lower Limb Weakness

By

Brady Pregerson, MD

February 2, 2022

A man in his 80s presents to the emergency department with new left leg numbness that started while eating breakfast an hour ago. Read how this case unfolded.

Clinical Challenge

Clinical Challenge: Cough, Fever, in Person Who Vapes

By

Brady Pregerson, MD

January 20, 2022

A 16-year-old adolescent presents to the emergency department with a 3-day history of vomiting, tactile fevers, and mild headache that went away 2 days earlier. When specifically questioned, she acknowledges a slight cough but has no shortness of breath or chest pain. Read how this case unfolded.

Clinical Challenge

Clinical Challenge: Generalized Weakness and Dehydration

By

Brady Pregerson, MD

November 30, 2021

A 63-year-old man with a history of thyroid cancer presents to the emergency department with a 4-day history of generalized weakness and lack of interest in food or drink. Read how this case unfolded.

Clinical Challenge

Clinical Challenge: Diarrhea and Dark Legs

By

Brady Pregerson, MD

October 29, 2021

A 72-year-old woman with a history of lung cancer and hypertension presents to the emergency department with diarrhea, which has persisted for 1 to 2 weeks, and darkening of her right lower limb. What is your diagnosis?