A 35-year-old woman presents at clinic with fever, productive cough, diarrhea, headache, anorexia, sore throat and dysphagia. She notes a ten-pound weight loss since her last visit 3 months ago. She has had unprotected sexual intercourse with more than one partner over the course of the past year. On physical exam crackles were heard at […]

43-year-old patient has been complaining of headaches for five months, mainly in the morning time, vomiting Recently, the pain has increased when changing the position of the head.Objectively: ano-standing, stasis of optic nerve papillae, ataxia, Yanishevsky’s symptom, decreased memory and crities Craniogram: signs of hypertensive CSF syndrome. On EchoEG: displacement middle structures of the brain […]

Eric is a 14-year-old student who uses a motorized wheelchair. Eric tested on grade level for reading and writing. His writing was assessed orally because of difficulty with fine-motor control. His speech therapy goal is to improve pronunciation, and his occupational therapy goal is to improve fine-motor control so that he can grasp a pencil […]

A 14-year-old girl presents with a throbbing headache that has worsened over the past 2 days. She has never had a headache of this nature before and has no history of trauma. The headache is localized to her right temporal region. Alleviating factors include sleep and sitting in a dark room, and aggravating factors include […]

A 65-year-old man presents to the emergency room with a severe headache that is diffuse and pounding. He currently takes coumadin (Warfarin) for his atrial fibrillation. The headache began 2 hours ago, and he has no relief with analgesics. On physical exam, he appears confused and there is 5/5 strength in his upper and lower […]

A 40-year-old woman with PMH of fibroids presents to the primary care clinic with headaches that have been occurring over the past several years. She states that the headaches occur in bunches. With these headaches, she will have several episodes lasting an hour each time that occur for a few straight weeks followed by long […]

A 40-year-old woman with a past medical history of hypertension and fibroids presents to the primary care clinic with headaches that have been occurring over the past several months. She states that the headaches occur frequently and last for a day or two. In these headaches, she experiences a bilateral, constricting sensation that she feels […]

7-year-old man developed the signs of decompensated laryngeal stenosis against the background of acute flegmonous laryngitis. He presents with inspiratory dyspnea at rest, forced position, cyanotic skin covered in cold sweat, tachycardia, deficient pulse, and low blood pressure. What urgent treatment tactics should be chosen? a.Oxygen therapy b.Oral administration of hyposensitization substances and broncholytic c.Administration […]

A 61-year-old woman complains of severe postprandial abdominal pain and a 20-pound weight loss over the past eight months. She has hypercholesterolemia and is a current cigarette smoker with a 30 pack-year history. The history you obtain does not suggest a gastrointestinal etiology, and you feel it is warranted to do further diagnostics to evaluate […]

The 47-year-old obese bank teller presents for evaluation of lower extremity edema. She is otherwise healthy and has no other major medical problems. She has had problems with this for many years. On examination of her lower extremities, she has significant swelling of both lower extremities up to the knee. The skin is markedly thickened, […]