NEW! — Interactive Medical Cases

Posted by Karen Buckley • September 11th, 2009

This week we are pleased to launch on NEJM.org an innovative new series, Interactive Medical Cases. Based on our popular Clinical Problem-Solving articles, the interactive cases allow you to virtually manage an actual patient’s case, from presentation to outcome.

Test your clinical knowledge in the first case, “The Writing on the Wall.”

A 52-year-old man with diabetes mellitus was admitted to the hospital after presenting to the emergency department with abdominal discomfort. His symptoms began 5 weeks earlier, when epigastric discomfort developed that did not radiate elsewhere. The pain was worse after eating and was associated with nausea and bloating that were partially relieved by belching. Two weeks before presentation, the patient’s pain began to localize to the periumbilical region and was accompanied by anorexia, early satiety, and episodes of vomiting. He had lost 4.5 kg (10 lb). He reported no fevers, diarrhea, tenesmus or hematochezia.


The case begins with a detailed description of the patient’s clinical presentation, his past medical history, and results from a physical exam. As you proceed, you will be guided through the patient’s clinical developments, and presented with detailed videos and graphics from lab and radiologic tests. Multiple-choice questions throughout allow you to test your diagnostic and therapeutic skills, and once a choice is made, you are provided with immediate feedback on your decision.Try the first case now.

Each case is rich with multimedia to reinforce learning principles, and brief peer-reviewed commentary explains important concepts. The interactive cases are designed to be completed quickly and efficiently, but registered NEJM.org users can save cases and return later. Once complete, you can compare your responses to those of your peers.

CME credits are also available by purchasing the exam at the end of the case for $15.To try the first case and receive CME credit, click here.

Interactive Medical Cases are a new approach to online clinical learning. We will offer one case a month for the next few months, and the full Clinical Problem-Solving article will be published, in print and online, a few weeks later. For more information on this series, please read the  editorial.

For a limited time, the Interactive Medical Cases will be in a pilot phase, during which they will be free. Your feedback is welcomed and will be used when making improvements to the interface and functionality of Interactive Medical Cases going forward.

We hope you enjoy The Writing on the Wall. Please let us know what you think.

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