Thoracic Key

HYPERTENSION   19A A 56-year-old black man presents to the clinic for a routine physical examination. On arrival, he is noted to have a blood pressure of 160/90 mm Hg, which you…

HEART FAILURE   18A A 75-year-old man with a history of coronary artery disease (CAD) and multiple previous myocardial infarctions (MIs) presents to his primary care provider with increasing shortness of breath….

DVT AND THROMBOEMBOLISM   25A A 57-year-old man undergoes total knee replacement for severe degenerative joint disease. Four days after surgery, he develops acute onset of shortness of breath and right-sided pleuritic…

BREAST CANCER   38A A 53-year-old nulliparous woman presents to her primary care clinician for evaluation of a painless breast lump that she first noted a few months ago. She came for…

ULCERATIVE COLITIS   37A A 43-year-old man presents to the urgent care clinic with bloody diarrhea. He has had five or six stools per day for the past 7 days associated with…

SINUSITIS   12A A 25-year-old man presents to the urgent care clinic with 3 weeks of facial pain and pressure. He describes a right-sided fullness and tenderness over his cheek. He has…

PNEUMONIA   10A A 67-year-old man with a history of alcoholism presents with a 2-day history of fevers, chills, rigors, shortness of breath, and a cough productive of dark yellow sputum. He…

AORTIC STENOSIS   15A A 52-year-old man is brought to the emergency department after a syncopal episode. While running in the park, he suddenly lost consciousness. He had no premonitory symptoms and…

MITRAL REGURGITATION   20A A 58-year-old man presents to the emergency department with 20 minutes of crushing substernal chest pain and marked shortness of breath. Physical examination shows inspiratory crackles over the…

PROSTATE CANCER   41A A 73-year-old African American man presents to a primary care clinician to establish care. He has not seen a doctor for some time, but low back pain and…