lifford is a 12-year-old boy with chronic pain. He wakes up one morning and experiences sudden flashes of pain in his legs. He goes to school but cannot concentrate on his teacher because he is distracted by the pain in his legs. Due to this distraction, the teacher announces the assignment, but Clifford does not […]

A 28-year-old man, recently emigrating from the Philippines, was noted to have a positive tuberculin skin test result in the clinic. His chest radiograph showed no active tuberculosis, and he denied any symptoms of this infection, including weight loss, cough, or night sweats. To prevent future disease, daily dosing with isoniazid was recommended for the […]

Odessa is a 54-year-old woman, 5″4″, 185 lbs, complaining of headaches, lightheadedness and dizziness. These symptoms have been occurring over the past several months but are getting worse. Now, this morning, she reports experiencing a nosebleed. She had attended a blood pressure screening at the mall a couple weeks ago and her reading was 170/92. […]

A 16-year-old presents to the clinic with a history of heavy and prolonged menstrual bleeding since her menarche at 13 years of age. Her cycles have been regular for the last year, but they have always been heavy. Her family history is relevant for heavy menstrual bleeding in both her mother and sister. The most […]

Penny is a 38 year old female with a history of IV drug use, currently in an outpatient treatment program. She had an IUD inserted a year ago. She presents with complaints of abdominal pain and vaginal discharge. She has no systemic symptoms, and her pain on exam is moderate. She is diagnosed with mild […]

Mr. Padhiar, age 74, is admitted to the emergency department (ED) with an exacerbation of COPD. He reports shortness of breath that has worsened over the past week. The patient sits on the side of the bed and leans forward over the bedside table with his weight supported on his elbows. He uses accessory muscles […]

You think that your niece is a very beautiful 15-year-old. At 5’5″, she weighs 130 pounds, which her physician says puts her in the middle of the healthy BMI range. However, you have noticed that she has become a very picky eater and rarely finishes her meals. Based on what you’ve read about adolescent eating […]

Max’s parents brought the 7-year-old to his pediatrician’s office for an annual well-child exam. Max’s two brothers, Sammy, 5 years old, and Henry, 8 years old, each drew on paper given to them by the staff while they waited quietly just outside the exam room. Neither of them made eye contact with the staff member […]

Cardiovascular Case Scenario Henry Faulkner is a 92-year-old male African American admitted with complaints of increasing dyspnea over the past 24 hours, especially with exertion. He has a history of emphysema/COPD, MI, HTN, and HF. Surgical history includes a fracture 10 years ago to his right ankle and right inguinal hernia repair 6 months ago. […]

Mr. Goodrich comes to an employee health site with his new employer. He is 45 years old and has not had health insurance for the past 5 years. He reports gaining about 10 extra pounds a year for the past 5 years and now weighs 245 pounds on a 5′ 8″ frame. His upper body […]