Case Report: Worsening Headache, Chills, No Fever
January 16, 2020
A 66-y/o man presents with worsening generalized headache x2 days plus chills and dry cough. Initial concerns: encephalitis, influenza, URI, pneumonia? Your Dx?
Brady Pregerson, MD
Knee Injury
December 4, 2019
A 44-year-old man arrives at the ED via ambulance complaining of knee pain and inability to bend or fully straighten his left leg. He had been in a wrestling competition.
Palpitations in Young People: 2 ECG Challenges
October 29, 2019
Palpitations and syncope during dinner (him); arrhythmia that looks like SVT after 2 energy drinks (her). What do the ECGs tell you?
MD vs Machine: 2 ECG Challenges
October 23, 2019
Computer-interpreted ECGs are part of SOP -- but the interpretation still needs confirmatin. See if your ECG read matches the machine in 2 cases from the ED.
Acute Flank Pain in a Young Woman: What's Your Dx?
September 13, 2019
Right-sided flank pain of 3h duration is the presenting complaint of a 32-year-old woman with no relevant medical history. She claims 1 episode of vomiting. What can you see on CT abdomen?
What Cause of Achilles Pain?
August 9, 2019
Pain has been present for 2 days; patient denies overuse or injury but says she has been jogging a little more than usual. What's your diagnosis?
Neck Mass in a Young Girl
July 16, 2019
The patient is 5-years-old without significant medical history. What is the differential diagnosis for a neck mass? What is your diagnosis?
Vaginal Bleeding in a Postmenopausal Woman
April 9, 2019
The 62-year-old describes lower abdominal “pressure” and using 2 pads/day; she reports a recent UTI. Review lab results and CT scan. What’s your diagnosis?
A Patient with Chronic Pancreatitis, Requesting Demerol
March 10, 2019
A 47 y/o woman with cirrhosis, HCV, and chronic pancreatitis requests Demerol for the worst abdominal pain she has ever had. What's your diagnosis?
ECG Challenge: Palpitations & Insomnia in Middle Age
January 14, 2019
Other than sleep problems, this 52-year-old has no other medical history. What's your ECG read? Does the computer assessment agree?
