Thoracic Key

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…

BACK PAIN, LOW   42A A 45-year-old man presents to the urgent care clinic complaining of low back pain. He was moving heavy boxes at work the day before when he had…

SEPSIS   80A A 65-year-old woman is admitted to the hospital with community-acquired pneumonia. She is treated with intravenous (IV) antibiotics and oxygen. A Foley catheter is inserted. On hospital day 3,…

CHOLECYSTITIS, ACUTE   27A A 52-year-old man presents to the emergency department with right upper quadrant (RUQ) abdominal pain for 8 hours. He states that it is steady and unrelenting and began…

DYSMENORRHEA   40A A 24-year-old woman presents to the clinic complaining of painful menses. She states that for the past several years, she has had cramping pain in the days preceding her…

MENINGITIS, BACTERIAL   59A A 19-year-old freshman living in a college dormitory presents to the emergency department with 1 day of fever and headache. On presentation, she complains of anorexia, lethargy, nausea,…

AORTIC REGURGITATION   14A A 64-year-old man presents to the clinic with a 3-month history of worsening shortness of breath. He becomes short of breath after walking one block or up one…

METABOLIC ACIDOSIS   53A A 43-year-old man with severe depression is brought into the emergency department after being found collapsed at home. His family states that he had been recently despondent, and…