Posts Tagged ‘Clinical Problem-Solving’

A Shocking Development

Posted by Sara Fazio • December 6th, 2013

In the latest article in our Clinical Problem-Solving series, a 20-year-old female college student presented in the winter with a 2-week history of fatigue, cough, sinus congestion, and rhinorrhea, followed by 2 days of vomiting, diarrhea, and abdominal pain. Clinically, influenza remains very difficult to distinguish from “influenza-like illnesses,” but the distinction is important. Among… Read More…

A Curious Case of Chest Pain

Posted by Sara Fazio • November 8th, 2013

In this new Clinical Problem-Solving article, a 67-year-old man presented to the emergency department with chest pain that had begun earlier that day and had progressed over a period of several hours. The pain was substernal and nonradiating, and it did not change with position or food intake. Although the detection of pulmonary edema on… Read More…

Wolf at the Door

Posted by Sara Fazio • June 8th, 2012

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…

Whistling in the Dark

Posted by Sara Fazio • May 4th, 2012

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…

Pulmonary Thrombotic Microangiopathy

Posted by Graham McMahon • January 6th, 2012

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…

Hypercalcemia

Posted by Graham McMahon • December 3rd, 2010

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…

Tubulointerstitial Nephritis

Posted by Graham McMahon • November 5th, 2010

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…

Bitter Pills: A New Interactive Medical Case

Posted by Karen Buckley • October 14th, 2010

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…

Amyloidosis

Posted by Graham McMahon • October 8th, 2010

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…

Infertility

Posted by Graham McMahon • September 3rd, 2010

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…