A comatose 82-year-old woman is brought to the emergency department. Her husband reports that after dinner she began to have difficulty in speaking, lost consciousness, and fell to the floor. He tried to rouse her, but was unsuccessful and called for an ambulance.
Navin M. Amin, MD
A 3-year-old girl is brought to the office because of a
1-week history of hematuria and dysuria. Her mother
had noticed bright red blood in the child’s urine and
diaper. The child did not have dysuria initially but later
complained of a burning sensation.
A 40-year-old Hispanic homemaker is admitted with a 3-week history of high fever, chest pain, and a dry, irritating cough. Her illness began insidiously with increasing right upper chest pain that is sharp, pleuritic, and rates a 6 on a pain scale of 1 to 10. The pain is associated with temperatures of up to 38.8°C (102°F) and chills, rigors, and profuse sweating that increase in the evening. Worsening dyspnea has been accompanied by a drop in effort tolerance.
A4-year-old boy has a 4-day history
of fever; a persistent dry,
irritating cough; coryza; and a
nonpruritic rash. The rash started
around the ears and then spread over
the trunk and limbs.
A 59-year-old woman presents with generalized facial
swelling and dyspnea that has progressed gradually
over the past month. The patient also reports a sensation
of pressure in her neck and ears and swelling of the lower
eyelids, neck, upper chest, and upper limbs. The blood
vessels on her upper chest are prominent. A dry, irritating
cough has worsened.
A 12-year-old black girl is hospitalized because of increasingly
severe dyspnea and sore throat. The sore
throat started about a week earlier and was accompanied
by fever and chills. The patient was evaluated at an urgent
care center when her symptoms worsened, where she was
given ampicillin for a presumptive “strep throat.” A generalized
maculopapular erythematous rash developed within
24 hours of the start of therapy, and the ampicillin was
promptly withdrawn. The rash cleared gradually thereafter.
Now the patient’s sore throat has worsened to the point
that she has difficulty with drinking and eating. She has
become increasingly dyspneic during the past 24 hours.
Hepatomegaly is detected during the routine physical examination of a healthy 40-year-old woman. She has noticed some fullness in the right upper abdomen for many years, but it has not been accompanied by pain or GI symptoms.
Hepatomegaly is detected during the routine physical examination of a healthy 40-year-old woman who is employed as a secretary. She has noticed some fullness in the right upper abdomen for many years, but it has not been accompanied by pain or GI symptoms.
Man With Worsening Cough and Dyspnea
Young Man With Painless Penile Ulcer