The patient is a 37-year-old female who presents with a history of long-standing hypertension and diabetes mellitus. She had recently started on a new diuretic and felt very weak and light-headed. Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute. View the patient’s ECG (Figure 1). Consider the type of diuretic is she likely to be taking and what your next steps would be. Resolution of the case is described …
Read MoreClinical Challenge 2: June, 2011
The patient, an otherwise healthy 16-year-old, fell and suffered a blow to the wrist one hour prior to presentation.
Read MoreClinical Challenge: June, 2011
The patient is an otherwise healthy child, age 11, who presents with acute pain to the wrist following a blow. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge 2: May, 2011
The patient is an otherwise healthy 22-year-old male who presents with three weeks of cough. He has already been treated with a macrolide. View the image taken (Figure 1) and consider what your diagnosis and next steps would be.
Read MoreClinical Challenge: May, 2011
The patient is an otherwise healthy child, 3.5 years of age, who presents with acute pain in his right lower arm to the elbow. Examination reveals multiple fractures. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge 2: April 2011
The patient is a 49-year-old woman who presents with a two-day history of chest pain and vomiting. The exam reveals no cause for alarm, and other than the primary complaint the patient is in no remarkable distress. However, you discover that she has had intestinal volvulus twice in the past. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next …
Read MoreClinical Challenge: April, 2011
The patient is a 4-year-old child who presents after experiencing a blow to the forearm while taking a fall. He is otherwise well-appearing, and other than pain in the affected arm the examination is unremarkable. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge 2: March 2011
The patient is a 37-year-old woman in her second trimester of pregnancy. She presents a day after experiencing a fall, with impact to her left hip. She is walking, but with a noticeable limp. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreClinical Challenge: March, 2011
The patient is a 64-year-old woman who presents with sudden onset, bilateral hip pain. She otherwise appears healthy, but reveals that she has a history of breast cancer. Examination reveals nothing remarkable. View the image taken (Figure 1) and consider.
Read MoreClinical Challenge: February, 2011
The patient is a 10-year-old who presents after experiencing a blow to the right elbow, with resultant pain on extension of the arm. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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