In the latest Clinical Problem-Solving article, a 29-year-old man presented with a 1-week history of fever, night sweats, reduced appetite, and left upper abdominal pain exacerbated by inspiration. He reported no weight loss, cough, dyspnea, nausea, diarrhea, rash, mouth ulcers, arthralgias, or ocular or urinary symptoms. Systemic lupus erythematosus (SLE) and the hemophagocytic syndrome are… Read More…
In a new Clinical Problem-Solving article, shortness of breath, fever, and cough productive of yellow sputum developed in a 38-year-old woman soon after the birth of her third child. Although her symptoms initially resolved with antibiotics, an intermittent nonproductive cough, wheezing, and shortness of breath soon followed. It is important to consider a broad differential… Read More…
In our latest Clinical Problem-Solving article, a 50-year-old woman presented with fatigue and shortness of breath. Dyspnea after moderate exertion had developed gradually, along with profound malaise and a nonproductive cough. In the 48 hours before admission, her shortness of breath had worsened. The clinicopathological syndrome of subacute cor pulmonale caused by tumor microemboli to… Read More…
A 61-year-old man was admitted with a week-long history of nausea, vomiting, nocturia, and polyuria. During the previous 6 months, he had noted progressive fatigue and a 7-kg (15-lb) weight loss. Read more about this case in our latest Clinical Problem Solving article, In Search of… Mild-to-moderate hypercalcemia (defined as a serum calcium level below… Read More…
In our Clinical Problem-Solving series, information about a real patient is presented in stages to an expert clinician, who responds to the information, sharing his or her reasoning with the reader. The latest article, Bitter Pills, was first presented as an Interactive Medical Case, giving readers the opportunity to test their diagnostic skills. Tubulointerstitial nephritis… Read More…
Test your diagnostic and therapeutic skills with our latest Interactive Medical Case, Bitter Pills. A 60-year-old man presented to an urgent care clinic with fatigue, which began a month earlier, and increasing frequency of urination, increasing nighttime urination, and increasing thirst, all of which began during the past week. He had previously been told that… Read More…
The latest article in our Clinical Problem-Solving series, “A Heavy Heart,” begins: A 73-year-old man presented with a 6-month history of progressive, symmetric edema that began in the lower extremities and subsequently involved his thighs, scrotum, and arms. He had dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea, as well as chest pressure on mild… Read More…
The Clinical Problem-Solving report, Hard to Conceive, is now available. (If you haven’t yet tried the Interactive Medical Case, see if you can determine the diagnosis first.) In the United States, approximately 10% of women of reproductive age have received infertility treatment. Among these cases of infertility, about 50% are attributed to female factors, and… Read More…
Our popular Interactive Medical Cases series returns with a new case for you to solve – Hard to Conceive. A 31-year old woman originally from Nepal presented to her primary care physician after failing to become pregnant despite having regular unprotected intercourse for the past 18 months. Her menarche had occurred at 13 years of… Read More…
Manage this patient’s case from presentation to outcome when you try our latest Interactive Medical Case, The Beat Goes On. A 45-year-old white man was brought to the emergency room by emergency medical services personnel after a syncopal event. He did not report any chest pain. He was found to have a monomorphic, wide-complex tachycardia… Read More…
