Thoracic Key

PARKINSON DISEASE   61A A 63-year-old man comes to the clinic with a several month history of difficulty with his gait and coordination. He finds walking difficult and has almost fallen on…

DIABETES MELLITUS, TYPE 1   67A A 22-year-old woman with a history of poorly controlled type 1 diabetes mellitus presents to the emergency department with abdominal pain, nausea, and vomiting. She had…

CIRRHOSIS   28A A 63-year-old man with a long history of alcohol use presents with a 6-month history of increasing abdominal girth, easy bruisability and worsening fatigue. He denies any history of…

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…