What's Causing This Man's Chest Pain?
Click through each section to learn more about the case and refine your differential diagnosis. A 33-year-old man with no significant past medical history presented to the emergency department with...
View ArticleWhich of The Following Is This Teenager Most Likely To Develop?
A 16-year-old male is brought to the emergency department by his father following a generalized tonic-clonic seizure. He has had these seizures regularly since early childhood, though their frequency...
View ArticleWhat Is the Most Common Site of Esophageal Perforation?
A 58-year-old male presents to the emergency department with dyspnea, and severe chest pain that radiates to his shoulder. He has a history of alcoholism and has just finished a 4-day drinking binge....
View ArticleWhich Of The Following Drugs Is The Most Likely Cause Of This Presentation?
A 50-year-old male currently being treated for an H. pylori infection presents with a sudden-onset fever, worsening nausea, and vomiting. He mentions he’s had reduced urine output over the last two...
View ArticleWhich Malignancy Is Most Commonly Associated With This Presentation?
48-year-old male presents to his family physician with concerns over the discoloration of his neck. He first noticed it one month earlier, and has been trying to clean the area unsuccessfully. He is...
View ArticleEM Malpractice: Airway Disaster
Interesting case about an EM doc and a respiratory arrest gone wrong. Attempted nasal intubation in a hallway bed with no meds, hospital banned docs from using paralytic, finally got a King airway in...
View ArticleWhat’s causing woman’s double vision?
Click through each section to learn more about the case and refine your differential diagnosis. A 34 year old woman with a history of well controlled hypothyroidism, presents to clinic with double...
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What illness links these symptoms together?
A 30-year-old female presents with violaceous nodules and a purpuric rash on her legs. She has a ten-year history of asthma which has recently worsened, a constant runny nose, and is currently taking...
View ArticleCough, Fever, and Coalescing Lesions — What’s the Cause?
What is the most likely diagnosis? A 17-year-old male presents with a history of increasing dyspnea, dry cough, and low-grade fevers. Coalescing erythematous macular lesions are evident on his hands,...
View ArticleDyspnea And Skin Discoloration In A Transplant Patient — What’s The Cause?
What medication is associated with this patient’s presentation? A 41-year-old male patient presents to the emergency department with dyspnea, headache, vomiting, and weakness. He had a kidney...
View ArticleMalpractice Case: Missed x-ray finding
Case 8: Cough – medmalreviewer Patient seen for cough. Radiology read mentions incidental finding. No follow-up until several years later, patient's incidental finding now developed into inoperable...
View ArticleMed Mal: Gastric Bypass Patient in the ED
Case 9: Abdominal Pain – MedMalReviewer Patient comes into the ED a few days after gastric bypass surgery. Full workup in the ED, surgeon is consulted via phone, discharged home. Bounces back a few...
View ArticleMedical Malpractice Case
Entire medical record, lawsuit, etc... is here: Case 10: Shortness of Breath – medmalreviewer Med mal cases require a HIPAA waiver so the records are available to the public, this site publishes them....
View ArticleWhat increases a patient’s risk for this severe reaction?
Which of the following increases a patient’s risk for this condition? A 21-year-old male presents to an urgent care clinic with a burning generalized rash and malaise. He mentions that he was treated...
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What is the most likely diagnosis?
A 17-year-old female presents with a high fever, ecchymoses on her trunk, and a five-month history of generalized fatigue. On examination, her skin is pale. A peripheral blood smear demonstrates...
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What malignancy is this patient at risk for?
Spoiler: Medically graphic image of colon A 17-year-old male is referred for colorectal cancer screening following his father’s diagnosis of metastatic colorectal cancer at the age of 47. He is...
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Worsening Abdominal Pain and Bloating in a 30-Year-Old Woman
Medscape Case Challenge: A 30-year-old woman presents with recurrent abdominal pain and loose stools. Over the past year, her symptoms have gotten worse, and she now feels significant bloating. Do you...
View ArticleDifficult altered mental status/generalized weakness case - thoughts?
60 year old female with schizoaffective disorder on clozapine and lithium + other meds who is pretty functional and relatively normal at baseline. Has a one week history of episodes of weakness,...
View ArticleWorsening dizziness in 40 year old man - Possible heart failure case?
This is a case for one of my stories, a true case. A 40 year old man has had dizziness triggered by exertion for at least the past month. A few weeks ago, he started getting frequent falls, and just a...
View ArticleAbdominal pain in a 20 year old female, what could this case be?
20 year old female presents to the ER with abdominal pain. Afebrile and normal vitals. Pregnancy test negative. Labs normal. Ultrasound normal, no stones. CT (resident read) shows nonspecific...
View ArticleWe all love puzzles/case studies.
Here is a case study I would like your take on (the medical student take..) After you read this, respond with your thoughts, and your year, if you would. There are NO wrong answers here. No judgements,...
View Article21 y/o F with elevated Hg/hct & elevated iron/TIBC - differential?
21 y/o Female, caucasian, otherwise healthy. Not on any meds. No supplements. Iron - 162 TIBC - 455 Hg - 15.8, RBC 5.5, Hct 49 (basically all a bit above normal range) Transferrin 318, Iron sat 36%,...
View Article21 year old female with borderline polycythemia & elevated iron - next step?
21 y/o Female, caucasian, otherwise healthy. Not on any meds. No supplements. Abnormal labs Iron - 162 TIBC - 455 Hg - 15.8, RBC 5.5, Hct 49 (basically all a bit above normal range - but meets...
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