Hepatitis, Viral
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
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
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…
Iron-Deficiency Anemia
IRON-DEFICIENCY ANEMIA 24A A 65-year-old previously well man presents to the clinic with the complaint of fatigue of 3 months’ duration. Questioning reveals diffuse weakness and feeling winded when walking uphill…
Gastrointestinal Bleeding, Upper
GASTROINTESTINAL BLEEDING, UPPER 33A A 74-year-old man with severe osteoarthritis presents to the emergency department reporting two episodes of melena (black stools) without hematochezia (bright red blood in the stools) or…
Substance Abuse
SUBSTANCE ABUSE 64A A 32-year-old unemployed man presents to the emergency department with right lower quadrant (RLQ) abdominal pain of 17 hours’ duration. He has a fever of 38.9°C, rebound tenderness…
Osteoporosis
OSTEOPOROSIS 75A A 72-year-old woman presents to the emergency department after falling in her home. She slipped on spilled water in her kitchen. She was unable to get up after her…
Hyperthyroidism
HYPERTHYROIDISM 72A A 25-year-old African American woman presents with a complaint of rapid weight loss despite a voracious appetite. Physical examination reveals tachycardia (pulse rate, 110 beats/min at rest), fine moist…
