Medscape CME Case Presentations

A 28-Year-Old With a Fever of Unknown Origin
Medscape CME Case Presentations October 15, 2013 , October 15, 2013
A 28-year-old woman presents with a 3-month history of unexplained fever. She also suffers from asthma and unresponsive chronic bronchitis as well as severe, limiting back pain. What is the diagnosis?


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Severe, Radiating Abdominal Pain and Near Syncope in an Elderly Man
Medscape CME Case Presentations December 09, 2011 , December 09, 2011
An 85-year-old man is brought to the ED with severe, radiating abdominal pain that began 2 hours ago. The patient has nausea and felt light-headed at the onset of the pain. What is the diagnosis?


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A 35-Year-Old Man With Acute-Onset Penile Pain and Swelling
Medscape CME Case Presentations November 04, 2011 , November 04, 2011
A 35-year-old man presents to the ED with acute-onset penile pain and swelling that started during sexual intercourse. His partner recalls hearing a cracking sound. What is the diagnosis?


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A 42-Year-Old Woman With Weakness, Chronic Backache, and Bruising
Medscape CME Case Presentations September 21, 2011 , September 21, 2011
A 42-year-old woman presents with bleeding gums and reports progressive weakness and occasional unexplained bruising. She also has a 1-year history of backache. What is the diagnosis?


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A 73-Year-Old Woman With Generalized Weakness and Heme-Positive Stool
Medscape CME Case Presentations October 24, 2012 , October 24, 2012
An elderly woman with a history of breast cancer complains of weakness and lack of appetite. She is being evaluated for iron-deficiency anemia and heme-positive stool. What is the diagnosis?


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Recurrent Chest Pain and Dyspnea in an Obese Woman
Medscape CME Case Presentations November 27, 2012 , November 27, 2012
An obese 53-year-old woman presents with a 1-week history of chest pain and dyspnea with associated weakness, dizziness, and syncope. Today, she had chest pain in the morning. What is the diagnosis?


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A 38-Year-Old Woman With Abdominal Pain and a Palpable Mass
Medscape CME Case Presentations October 03, 2012 , October 03, 2012
A woman presents with a 2-year history of an abdominal wall mass that has recently enlarged in size, with associated soreness and pain, and a 3-year history of menstrual issues. What is the diagnosis?


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Rash, Pain, and Dyspnea Progressing to Respiratory Failure
Medscape CME Case Presentations December 27, 2011 , December 27, 2011
A 68-year-old woman presents to the ED with progressive shortness of breath, flank pain, fever, and weakness. A diffuse, pinkish rash is noted over her extremities and trunk. What is the diagnosis?


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A 44-Year-Old Man With Back Pain and Progressive Weakness
Medscape CME Case Presentations December 01, 2011 , December 01, 2011
A 44-year-old man is evaluated for a 6-month history of progressive bilateral lower extremity numbness and weakness and a 4-year history of back pain. What is the diagnosis?


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Spastic Quadriplegia Following Treatment for Epigastric Pain and Vomiting
Medscape CME Case Presentations October 12, 2011 , October 12, 2011
An elderly man presents with 5 days of epigastric pain and vomiting. He is treated for hyponatremia; he responds well, but his condition deteriorates in the days following. What is the diagnosis?


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A Teenage Athlete With a Painful Knee
Medscape CME Case Presentations September 30, 2013 , September 30, 2013
A 16-year-old boy is presented for acute-onset knee pain and swelling that began 1 week ago after a soccer match. He had a patellar dislocation 2 months ago, with full recovery. What is the diagnosis?


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An 8-Year-Old Boy With Knee Pain and a Fever
Medscape CME Case Presentations July 20, 2011 , July 20, 2011
An 8-year-old boy presents with a 1-day history of right knee pain. On presentation, he cannot bear weight on his right leg and there is associated swelling and fever of 103°F. What is the diagnosis?


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A 68-Year-Old Woman With Recurrent Abdominal Pain, Nausea, and Vomiting
Medscape CME Case Presentations October 17, 2012 , October 17, 2012
A 68-year-old woman presents with a 4-month history of episodic epigastric pain with associated nausea and vomiting. She previously had a splenic marginal zone lymphoma. What is the diagnosis?


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Dyspnea in a Young Woman With Thrombocytopenia
Medscape CME Case Presentations September 26, 2012 , September 26, 2012
A 30-year-old woman presents with a 2-month history of progressive dyspnea. Her history includes diffuse abdominal pain, leg swelling, and cyanosis with amputation of a toe. What is the diagnosis?


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Back Pain and New-Onset Weakness in a 61-Year-Old Woman
Medscape CME Case Presentations October 15, 2013 , October 15, 2013
A 61-year-old woman presents with back pain, left-sided weakness, and an unsteady gait following treatment for a UTI. Laboratory exams reveal several significant findings. What is the diagnosis?


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Sudden-Onset Aphasia and Right Hemiparesis in a 67-Year-Old Woman
Medscape CME Case Presentations November 17, 2011 , November 17, 2011
A 67-year-old woman is brought to the ED for severe right-sided weakness and difficulty speaking that was observed by her husband on awakening this morning. What is the diagnosis?


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A 10-Year-Old With Recurrent Painful Swelling and Restricted Movement
Medscape CME Case Presentations September 29, 2011 , September 29, 2011
A 10-year-old boy presents with recurrent episodes of painful swelling associated with restricted movement and areas of residual, painless, persistent, nontender bony swelling. What is the diagnosis?

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A 75-Year-Old Man With Anuria and Abdominal Distention
Medscape CME Case Presentations October 31, 2012 , October 31, 2012
A 75-year-old man presents with a 6-week history of lower abdominal pain and distention, bilateral lower-extremity swelling, and weight loss. He has been anuric for 3 days. What is the diagnosis?


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A Teenager With Oral Ulcers, Hyperpigmentation, and Postural Hypotension
Medscape CME Case Presentations December 09, 2012 , December 09, 2012
A 17-year-old girl presents with a history of oral fungal infections, diarrhea, recurrent abdominal pain, vomiting, dizziness, darkening of the skin and oral cavity, and fever. What is the diagnosis?


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A 5-Year-Old Girl With Foul-Smelling Nasal Discharge
Medscape CME Case Presentations October 11, 2012 , October 11, 2012
A 5-year-old presents with an 8-month history of progressive malodorous nasal discharge. She has experienced sleep disturbances and remarkable snoring. What is the diagnosis?


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