Worsening Dyspnea on Exertion and Reduced Exercise Capacity A 44-year-old woman presents with a 6-month history of worsening dyspnea on exertion. She has reduced exercise capacity and has to stop…
Marfan Syndrome with Sharp Chest Pain The patient is a 43-year-old woman with a history of Marfan syndrome. She had a Bentall procedure 10 years ago with a composite Dacron…
Weight Loss and Low-Grade Fevers A 41-year-old man was admitted to the hospital with a 1-month history of fatigue, shortness of breath, weight loss, and low-grade fevers. On physical examination,…
Syncopal Event with a Bruised Sternum A 41-year-old African American man presents after a syncopal event that occurred while driving a car. The patient was involved in a head-on collision…
Acute Shortness of Breath following Surgery due to a Motor Vehicle Accident A 40-year-old man had orthopedic surgery following a motor vehicle accident. He subsequently developed acute shortness of breath….
Lip and Skin Lesions with the Appearance of Blebs/Papules A 38-year-old healthy woman developed lip and skin lesions with the appearance of blebs/papules 2 months ago. She had swelling of…
Fatigue, Weight Loss, and Anorexia The patient is a 37-year-old man with fatigue, a 20-1b weight loss, and worsening anorexia over the past 6 months. Figure 18-1. Figure 18-2. Figure…
Flu with Recent Onset of Congestive Heart Failure The patient is a 36-year-old woman with a history of the flu 6 weeks prior to admission and onset of congestive heart…
Family History of Sudden Cardiac Death A 35-year-old woman with a family history of sudden cardiac death comes for cardiac evaluation (Videos 15-1 to 15-5 and Figs. 15-1, 15-2, 15-3…
