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**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————————— The correct answer is D) Nephrolithiasis. Some of you chose the correct condition, but on the wrong side of the body. Remember that the patient had pain on the left, and that […]
March 23, 2013
Case: A 43 year old female presents to the emergency department complaining of sudden-onset, sharp, left-sided abdominal pain that radiates to the groin, followed by nausea, vomiting, and diarrhea. Based on the images and history provided above, what is the most likely diagnosis? A) Appendicitis B) Diverticulitis C) Hernia D) Nephrolithiasis (kidney stone) E) Ruptured […]
August 21, 2012
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————————————– Let me begin by saying this was a difficult case (I know a case is tricky when the ratio of views to answers is >400:1), and kudos to those who tried – […]
August 19, 2012
You are the GI fellow consulted to see a 17 year old white male with a chief complaint of diarrhea & bright red blood per rectum (BRBPR). The patient was in his usual state of health until he experienced sudden-onset diffuse, crampy abdominal pain and diarrhea roughly 36 hours ago. He experienced 3-5 episodes of […]
January 11, 2012
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. ** ———————————————————————————————————————————————————————————– The correct answer is B) Stricture. “Common things are common” – the gentleman does not give a history consistent with foreign body ingestion, and the remaining choices, though plausible, are rare. This […]
January 9, 2012
A 45 year old African American male presents to the emergency department with a chief complaint of dizziness. He states that 4 days ago, he began to have difficulty swallowing food – he was eating a breakfast consisting of eggs, bacon & grits. He noticed some difficulty swallowing his last bite, and reports “spitting up” […]
November 8, 2011
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. **
November 6, 2011
This is the interesting case I promised you last week – I think it allows for several great teaching points. Take your time, and share this one with your friends. -Jim A 33 year old woman presents to the emergency department complaining of severe abdominal pain. When you go to examine the patient, you notice […]
October 26, 2011
**If you would like another chance to read the challenge before seeing the answer, click here. Scroll down for the answer. **
October 23, 2011
This week’s Medical Challenge is from guest blogger Vincenzo Happach – medical student at DMU & good personal friend of mine. If you would like to submit a guest post or a medical case of your own, please use the contact page. An 86 year old Caucasian female presents to the medicine floor after, while […]
March 25, 2013
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