Medscape CME Case Presentations

• A 28-Year-Old With a Fever of Unknown Origin
  Medscape CME Case Presentations October 15, 2013
  A 28-year-old woman presents with a 3-month history of unexplained fever. She also suffers from asthma and unresponsive chronic bronchitis as well as severe, limiting back pain. What is the diagnosis?
  
  
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• Back Pain and New-Onset Weakness in a 61-Year-Old Woman
  Medscape CME Case Presentations October 15, 2013
  A 61-year-old woman presents with back pain, left-sided weakness, and an unsteady gait following treatment for a UTI. Laboratory exams reveal several significant findings. What is the diagnosis?
  
  
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• A Teenage Athlete With a Painful Knee
  Medscape CME Case Presentations September 30, 2013
  A 16-year-old boy is presented for acute-onset knee pain and swelling that began 1 week ago after a soccer match. He had a patellar dislocation 2 months ago, with full recovery. What is the diagnosis?
  
  
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• A 75-Year-Old Man With Anuria and Abdominal Distention
  Medscape CME Case Presentations October 31, 2012
  A 75-year-old man presents with a 6-week history of lower abdominal pain and distention, bilateral lower-extremity swelling, and weight loss. He has been anuric for 3 days. What is the diagnosis?
  
  
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• A 73-Year-Old Woman With Generalized Weakness and Heme-Positive Stool
  Medscape CME Case Presentations October 24, 2012
  An elderly woman with a history of breast cancer complains of weakness and lack of appetite. She is being evaluated for iron-deficiency anemia and heme-positive stool. What is the diagnosis?
  
  
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• A Teenager With Oral Ulcers, Hyperpigmentation, and Postural Hypotension
  Medscape CME Case Presentations December 09, 2012
  A 17-year-old girl presents with a history of oral fungal infections, diarrhea, recurrent abdominal pain, vomiting, dizziness, darkening of the skin and oral cavity, and fever. What is the diagnosis?
  
  
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• Recurrent Chest Pain and Dyspnea in an Obese Woman
  Medscape CME Case Presentations November 27, 2012
  An obese 53-year-old woman presents with a 1-week history of chest pain and dyspnea with associated weakness, dizziness, and syncope. Today, she had chest pain in the morning. What is the diagnosis?
  
  
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• A 68-Year-Old Woman With Recurrent Abdominal Pain, Nausea, and Vomiting
  Medscape CME Case Presentations October 17, 2012
  A 68-year-old woman presents with a 4-month history of episodic epigastric pain with associated nausea and vomiting. She previously had a splenic marginal zone lymphoma. What is the diagnosis?
  
  
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• A 5-Year-Old Girl With Foul-Smelling Nasal Discharge
  Medscape CME Case Presentations October 11, 2012
  A 5-year-old presents with an 8-month history of progressive malodorous nasal discharge. She has experienced sleep disturbances and remarkable snoring. What is the diagnosis?
  
  
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• A 38-Year-Old Woman With Abdominal Pain and a Palpable Mass
  Medscape CME Case Presentations October 03, 2012
  A woman presents with a 2-year history of an abdominal wall mass that has recently enlarged in size, with associated soreness and pain, and a 3-year history of menstrual issues. What is the diagnosis?
  
  
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• Dyspnea in a Young Woman With Thrombocytopenia
  Medscape CME Case Presentations September 26, 2012
  A 30-year-old woman presents with a 2-month history of progressive dyspnea. Her history includes diffuse abdominal pain, leg swelling, and cyanosis with amputation of a toe. What is the diagnosis?
  
  
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• Postoperative Dyspnea in a 59-Year-Old Man
  Medscape CME Case Presentations September 19, 2012
  A 59-year-old man undergoes an elective subtotal colectomy. On postoperative day 4 he develops sudden-onset dyspnea. A chest x-ray reveals bibasilar subsegmental atelectasis. What is the diagnosis?
  
  
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• A 43-Year-Old Man With a History of Abdominal Pain and Weight Loss
  Medscape CME Case Presentations September 12, 2012
  A 43-year-old man presents with abdominal pain, severe intermittent headaches, subjective fever, chills, weakness, reduced appetite, and a 30-lb weight loss over the last few months. What is the diagnosis?
  
  
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• It Must Be Cardiac!
  Medscape CME Case Presentations August 29, 2012
  An elderly woman presents with vomiting and progressive alteration of her mental status following discontinuation of her metoclopramide therapy. An ECG is obtained. What is the diagnosis?
  
  
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• An Elderly Woman With an Ulcer on Her Shoulder
  Medscape CME Case Presentations August 22, 2012
  An 84-year-old woman is admitted to the hospital with a 6-month history of asymptomatic brown macules on her legs and a red nodule with central ulceration on her right shoulder. What is the diagnosis?
  
  
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• Acute Chest Pain in a COPD Patient
  Medscape CME Case Presentations August 15, 2012
  An 80-year-old man presents with a 2-day history of right-sided chest pain that was sudden in onset, is constant, and is exacerbated by coughing and deep inspiration. What is the diagnosis?
  
  
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• A 27-Year-Old Woman With Facial Discoloration
  Medscape CME Case Presentations August 09, 2012
  A 27-year-old African-American woman presents with a 2-month history of white spots on her face. The spots aren't painful or itchy but they have been growing in size. What is the diagnosis?
  
  
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• Headache in a 19-Year-Old Woman With a Genetic Disorder
  Medscape CME Case Presentations November 20, 2012
  A young woman presents to the clinic after a hospital visit for a 5-year history of progressively frequent headaches. She has a headache daily, with 1 severe headache per week. What is the diagnosis?
  
  
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• Acute Onset of Abdominal Pain in a 76-Year-Old Man
  Medscape CME Case Presentations November 15, 2012
  An elderly man presents with sudden-onset abdominal pain centered in the epigastrium that is described as deep and burning. Hyperactive bowel sounds are heard on auscultation. What is the diagnosis?
  
  
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• Altered Mental Status in a Young Man Picked Up On the Street
  Medscape CME Case Presentations November 06, 2012
  A 33-year-old man is brought to the ED with altered mental status. The patient has a very high temp and has admitted to using cocaine. What is the potentially life-threatening finding on the ECG?
  
  
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