Thoracic Key

DIARRHEA   31A A 62-year-old woman presents to her primary care provider with complaints of 2 weeks of diarrhea, starting after a recent hospitalization for pneumonia. She describes the diarrhea as watery…

EPILEPSY   58A A middle-aged man is transported to the emergency department accompanied by a hospital nurse. She states that the patient was in line in front of her in the hospital…

HIV AND AIDS   77A A 31-year-old man who is an injection drug user presents to the emergency department with a chief complaint of shortness of breath. He describes a 1-month history…

KIDNEY STONE DISEASE   52A A 48-year-old man presents to the emergency department with severe, colicky right flank pain. He denies dysuria and fever. He does report significant nausea without vomiting. He…

PANCREATITIS, CHRONIC   36A A 52-year-old man with a 20-year history of alcohol abuse presents to the clinic complaining of recurrent episodes of epigastric and left upper quadrant (LUQ) abdominal pain. Over…

MYASTHENIA GRAVIS   60A A 35-year-old woman presents to the clinic complaining of double vision (diplopia) intermittently with progressive worsening over 2 months. In addition, she has noted intermittent drooping of her…

COLORECTAL CANCER   29A A 54-year-old man presents to the clinic for a routine checkup. He is well with no physical complaints. The history is remarkable only for a father with colon…

HEPATITIS, VIRAL   34A A 27-year-old woman presents to her primary care clinician complaining of nausea and vomiting. She returned 1 week ago from an international trip to South America where she…

PANCREATITIS, ACUTE   35A A 58-year-old woman presents to the emergency department with a 2-day history of epigastric abdominal pain, fever, anorexia, and nausea. Serum amylase and lipase levels are markedly elevated….

KIDNEY INJURY, ACUTE   50A A 36-year-old woman with diabetes mellitus sustained a fall onto her arm at a construction site. In the emergency department, she had radiography showing a complex radial…