Brady Pregerson, MD

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?

A man in his mid-60s presents after 1 month of intermittent fevers; recent blood cultures were positive for oral flora. Follow the ED course--can you make the diagnosis?

Persistent generalized weakness and decreased oral intake bring a man in his early 60s with hx of thyroid cancer to the ED. Do ECG and labs suggest a diagnosis?

A rash presumed to be a possible fungal or bacterial infection on the legs and feet of a 62-year-old man has failed to improve after 10 days of treatment. What's your Dx?

Intermittent pain causing the child to cry and an episode of bright red rectal bleeding are described by the mother. Review labs and imaging: What's your diagnosis?

A 20-something young man is in the ED after a fall off a scooter while doing tricks. What do you see on the x-ray? What type of injury is it?

A 32-year-old woman is seen in the ED with pain from an ankle injury sustained about 24 hours earlier. What does the x-ray show? How would you proceed?

A man in his 50s is seen in the emergency department for acute LUQ pain. Vital signs are normal and so are results of laboratory studies. What do you see on CT? What's your Dx?

The patient is a 52-year-old man and he has never had these symptoms before. Review lab results and CT findings. What's your diagnosis?

A woman in her 50s who has a history of tension headache presents to the ED with a headache different from any she has had. Mild photophobia is the only finding on physical exam. Your dx?

Gradually worsening weakness in the shoulders, neck, and face of 4-5 days' duration is the presenting complaint of a man in his 60s. ED physician Brady Pregerson, MD, asks, "What's your diagnosis?"

A man in his fifties presents with pain in a fingertip that has been getting increasingly worse. Notable on exam are a small scab on that finger and nail-bitten fingernails. Your Dx?

Fever is up to 103.5°F, joint pain is affecting lower extremities, bilaterally, and the patient complains of headache. Could sex have anything to do with it?