Brady Pregerson, MD

A woman in her mid-50s arrives at the ED for suspected anaphylaxis; SOB has not responded to epinephrine and steroids. Does the CT scan suggest a Dx?

A woman in her early 50s presents with 6 hours of right sided pleuritic chest pain. What do the history and ECG suggest? What's yoru Dx?

The patient shows no signs of trauma but is a poor historian so no further details are available. Do her vitals or ECG provide any clues to a Dx?

A 2-year-old child has had a low-grade fever for 4 days and a swelling has developed behind the left ear. She just recovered from a URI. What's your diagnosis?

The 11-year-old girl has had a fever up to 102.1°F for 3 days and midsternal nonpleuritic chest pain for 1 day. What tests would you order? Your Dx?

After performing a back blow maneuver on her 10-month-old daughter to dislodge a popcorn kernel, a mother arrives at the ED with the child in distress. What happened?

Patient is in his forties; pain has been waxing, waning, worsening for 2 weeks. He has no other significant medical history. Do lab results hold clues? What's your Dx?

A man in his eighties presents to the ED after 1 week of persistent bilateral leg weakness and dysgeusia that has not worsened. What's your Dx?

Fever and confusion bring the young man in his twenties to the ED; roommates relate he's been weak and flu-like for 5 days. What's your diagnosis?

A man in his mid-sixties reports constant bilateral chest pain that radiates to the back that began yesterday. Can you Dx based on the CT image here?

The 62-year-old woman says she nearly fainted and feels weak and nauseated. Her BP is 77/49 mm Hg and she is retaining urine. Does the CT scan offer clues to a Dx?

A 62-year-old woman reports several days of abdominal bloating and vomiting that changed 2 hours ago into severe generalized pain. Review the bedside ultrasound, here.

The young patient's symptoms are nonspecific but there are questions that should be asked to help narrow the differential diagnosis - which ones?

The man in his early 70s complains of leg pain lasting a month and of arm pain that came on about 1 week ago. Does the x-ray offer a clue to a diagnosis?

The patient presents with pleuritic pain but without fever, SOB, chest pain or cough. Review the CXR - what's your diagnosis?

The 72-year-old woman says the back pain came on earlier in the evening without injury or heavy lifting and radiates slightly to her left leg. What does the MRI show?

The patient is in her mid-20s and other than an intermittent mild headache she denies any other pain and has no fever. Can you Dx based on the CT?

Pain and swelling have been present for 2 days, explains the patient, a man in his 50s. Other than mild tachycardia, vital signs are normal. What does the CT show?

Constipation, bloating, and abdominal pain worsening over 1 week bring a woman in her mid-70s to the ED. Labs are normal. What do you see on the CT scan?

Standing at the kitchen sink, the patient experienced vertigo and near syncope. His vital signs are normal save a discrepancy in SBP between arms. What's your diagnosis?

The woman's symptoms have been progressively worsening over 4 days; there is no facial weakness. Will the external ear findings lead you to a diagnosis?

She reports cough and persistent escalating fever x2 weeks, headache but no neck stiffness. Tachycardia and mild skin pallor seen on PE. What do the lab tests tell you?

The man, in his 30s, has seen 2 specialists, received 2 diagnoses, and is now in the ED for persistent pain that is worsened by eye motion. Can you dx?

A 20-something man presents to the ED complaining of a headache after crashing a motorized scooter. Review the head CT. What's your Dx?

The woman is in her mid-fifties, diarrhea has been persistent for 10 days and BUQ pain for 2 days. What does the CT show? What's your diagnosis?

The patient is a man in his mid-60s seen in the ED for dyspnea and diaphoresis which began an hour ago and came on suddenly. He has no chest pain. Can you Dx?

A man of about 40-years-old is seen in the ED for a possible drug overdose. He complains of low back pain and asks for medication. What's your diagnosis?

The patient is a young man who presents after resolution of several hours of chest pain. He is recovering from a lower GI illness and still taking Cipro. What's your Dx?

A skateboarding accident brings a man in his 30s to the ED complaining of wrist pain. Can you make the diagnosis based on the x-ray?