Browsing All posts tagged under »diagnosis«

Answer to Medical Challenge | Bloody Nose

February 5, 2014

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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 C) Acute promyelocytic leukemia.  This was a challenging case and differential, but the presentation and smear were classic and are exactly what you would be […]

Medical Challenge | Bloody Nose

February 2, 2014

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A 25 year-old otherwise healthy male presents to his primary care doctor after a difficult to control nosebleed, lasting approximately two hours.  There is no history of trauma, drug use, or previous episodes of prolonged bleeding.  He has not been feeling fatigued lately (able to carry out his usual activities).  He does endorse easy bruising […]

Answer to Image Challenge | Difficulty Breathing

October 5, 2013

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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 Aspiration Pneumonitis (D).  Explanations of the choices follow, and management of the patient is discussed at the bottom of the page. Don’t feel bad if you chose Pneumoperitoneum (A) – […]

Answer to Medical Challenge | Altered Mental Status Pt. 2

August 1, 2013

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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 Medication induced delirium (G). This was a difficult case, but with the information provided the most likely answer should be clear.  It’s an important topic, as this is a commonly-encountered clinical […]

Medical Challenge | Altered Mental Status Pt. 2

July 12, 2013

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This medical challenge is adapted from a real clinical scenario, and though complex, is an excellent example of the broad differential required for an elderly person with a change in mental status – one of the most common presentations to the emergency department. An 80 year old white male is brought to the emergency department […]

The Importance of the USMLE Step 2 Clinical Skills Examination

March 29, 2013

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This guest post was written by Dr. Mark Swartz, M.D.  Please see the author bio below for more information. The Importance of the USMLE Step 2 Clinical Skills Examination “Do you smoke, drink coffee or consume alcohol? If you answered yes—how often?” As a patient, you may feel overwhelmed having to answer each question as […]

Medical Challenge | Sudden Pain

March 23, 2013

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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 […]