Toni has a dehydrated barrier from years of not wearing sunscreen. She thinks moisturizer was always too heavy for her skin. She has had a combination type for many years until she reached menopause. She is upset because she has a small mustache and darker spots in places she did not expect in her 70s. […]

Angela is a single young adult female and is 14 weeks pregnant. She arrives at the hospital because she is in excruciating pain. Angela has been told that there is a complication with her pregnancy and that she has an ectopic pregnancy. Angela is informed that this condition presents life-threatening dangers to herself, if she […]

A 20-year-old man is brought to the emergency department after an accident. He is unconscious but has stable vitals. Emergency computed tomography reveals no abnormalities. A few minutes later, he regains consciousness and appears confused. A postictal state is suspected. Soon he starts getting agitated and anxious and starts to perspireg. His heart rate is […]

A 16-year-old female presents to the emergency department with altered mental status. She is difficult to arouse and has slurred speech. On examination, she has track marks on her arms. Her vital signs reveal a heart rate of 98 beats/min, blood pressure 100/60 mmHg, respiratory rate 16/minute, and oxygen saturation 98% on room air. Her […]

Ray Chan, age 24, is involved in a multiple car accident. Mr. Chan was wearing a seatbelt; the air bag was activated. Mr. C was airlifted to the nearest trauma 1 hospital. The injuries included 3 broken ribs, a broken sternum, a broken left femur, contusions, and an open scalp wound of 4 cm. Mr. […]

A 16-year-old girl presents in an unconscious state. On examination, she is pulseless, cyanotic, and has pinpoint pupils. Upon cardiopulmonary resuscitation and intubation, circulation is achieved within four minutes. Arterial blood gas (ABG) reveals a mixed presentation of respiratory and metabolic acidosis. The girl is placed on mechanical ventilation and is started on whole-body cooling […]

A 16-year-old girl is brought by her parents for anger and irritability that started three days ago. She has not been sleeping well, is severely anxious, has vivid dreams, and has a decreased appetite. She stays in her room all day. She broke curfew and has been grounded for over a week. She stayed out […]

Ray Chan, age 24, is involved in a multiple car accident. Mr. Chan was wearing a seatbelt; the air bag was activated. Mr. C was airlifted to the nearest trauma 1 hospital. The injuries included 3 broken ribs, a broken sternum, a broken left femur, contusions, and an open scalp wound of 4 cm. Mr. […]

The patient is a 71-year-old male who came into the hospital with a cough and sputum that had been getting progressively worse for over a week. The patient was diagnosed with COPD and Acute Pulmonary Embolus (CT scan). The patient currently lives at home with his family before coming into the hospital. The patient has […]

64-year-old man suddenly sensed pain in his occipital area, dizziness, general weakness. He has a 15-year-long history of hypertension. Objectively the skin and mucosa are of normal color. Auscultation reveals vesicular respiration across the lung surface. At the cardiac apex the I heart sound is weakened, the II heart sound is accentuated over the aorta. […]