An Elderly Man with Altered Mental Status, Abnormal ECG
Hallucinations and rambling speech came on suddenly and are getting worse. Review history and ECG. What's your diagnosis?
Weakness, DOE, and WBC > 100K: What's Your Diagnosis?
A 75-yo man presents with worsening asthenia and exertional dyspnea x2 weeks. Based on labs and CXR, what is your next step?
What type of injury is seen on this x-ray of a young boy's elbow? Outward signs of trauma are negligible.
Hemolytic Uremic Syndrome in a Female Toddler
A rare condition, HUS is a form of microangiopathic hemolytic anemia, the #1 cause of renal failure in children.
Oliguria in a 2-year-old Girl
What cause of hypouresis after several days of emesis/diarrhea has resolved? Look for clues in the lab results.
Hemopericardium and Tamponade
The patient with hypertension and syncope had cardiac tamponade. Causes, symptoms, and treatment described here.
Syncope and Sweat in a 65-Year-Old Man
A man with a history of hypertension had syncope and felt “sweaty.” Chest x-ray was normal. What’s your next test?
Multiple Posterior Circulation Strokes
A 56-year-old man comes to your office for two “spells” he’s had in the past three days, each lasting approximately 20-30 seconds before resolving spontaneously. The first was blurry vision in both eyes without other vision changes.
Tinnitus and Blurry Vision in a Middle-aged Man
Patient describes 2 short "spells," one of blurry vision and another of tingling in an extremity. Tinnitus begins in your office.
A 56-year-old man comes to your office for his yearly executive physical. He mentions that he has had 3 days of epigastric pain with occasional radiation to his mid-back.