Thoracic Key

ACUTE MYOCARDIAL INFARCTION   13A A 71-year-old man presents to the emergency department with a sudden onset of substernal chest pain 1 hour ago. He describes the pain as a heavy pressure…

ADRENOCORTICAL INSUFFICIENCY   65A A 28-year-old man presents to the emergency department with a headache, stiff neck, and fever. After a lumbar puncture, he is admitted to the intensive care unit with…

DIABETES MELLITUS, TYPE 2   68A A 53-year-old man presents to his primary care provider for a routine checkup. He complains of increased thirst and frequent urination for the past few months….

CROHN DISEASE   30A A 28-year-old woman arrives in the urgent care clinic complaining of cramping abdominal pain. She has had the pain intermittently over the past 5 months, accompanied by diarrhea….

DEMENTIA   56A A 73-year-old man is brought in by his wife, who is concerned about his worsening memory. A retired engineer, he has recently been getting lost in the neighborhood where…

KIDNEY DISEASE, CHRONIC   51A A 58-year-old obese woman with hypertension, type 2 diabetes mellitus, and chronic kidney disease (CKD) is admitted to the hospital after a right femoral neck fracture sustained…

LUNG CANCER   8A A 73-year-old man presents to his primary care provider with a new cough productive of blood. He reports gradual weight loss of approximately 15 lb over the past…

HYPONATREMIA   49A A 75-year-old man with small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife states that over the past few days,…

ALTERED MENTAL STATUS   55A An 82-year-old woman with mild dementia is hospitalized in the intensive care unit (ICU) for urosepsis and treated with intravenous antibiotics. On hospital day 3, despite improvement…

HYPERCALCEMIA   70A A 71-year-old woman with lung cancer presents to her primary care provider with complaints of constipation, nausea, and increased urination. She also has new depression and generalized weakness. Her…