Clinical Challenge Archives - Clinical Advisor

Clinical Challenge: Acute Left Lower Quadrant Pain

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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?

Clinical Challenge

Clinical Challenge: Vomiting in 2-Month-Old Infant

By

Brady Pregerson, MD

September 20, 2021

A 2-month-old infant is brought to the emergency department with a history of vomiting for the past 4 days. Can you make the diagnosis?

Clinical Challenge

Clinical Challenge: Shoulder Pain After Motorcycle Accident

By

Brady Pregerson, MD

August 5, 2021

A 45-year-old man presents to the emergency department with shoulder pain after a motorcycle accident. What is your diagnosis?

Clinical Challenge

Clinical Challenge: Progression of Palpable Purpura to Bullous Plaques

By

Christopher N. Nguyen, BA

Benjamin Reinhardt, MD

July 28, 2021

A 20-year-old woman presents to the dermatology clinic with a 5-day history of a mildly pruritic rash on both of her legs and feet. Can you diagnose this condition?

Clinical Challenge

Clinical Challenge: Abdominal and Rectal Pain

By

Brady Pregerson, MD

June 30, 2021

A 72-year-old woman with a history of narcotic bowel syndrome and prior abdominal surgeries presents to the ED for management of severe right lower abdominal and rectal pain. What is your diagnosis?