eMedicine CME Case Presentations

How Low Can It Go? CME A 50-year-old woman presents to the ED with recurrent syncope, increased weakness, and unintentional weight loss. She remains homebound for fear of falling and injuring herself. What is the diagnosis?
eMedicine Case Presentations CME, June 2009

Shortness of Breath With Chest Pressure in A 55-Year Old Man CME/CE A 55-year-old man presents with a 1-month history of worsening dyspnea and chest pressure. He was previously diagnosed with asthma. CT angiography of the chest is ordered. What is the diagnosis?
eMedicine Case Presentations CME, June 2009

Palpitations and Near Syncope in a 37-Year-Old Woman CME A 37-year-old woman with a history of anxiety disorder presents with palpitations, dyspnea, and lightheadedness. She has a history of similar symptoms. An ECG is obtained. What is the diagnosis?
eMedicine Case Presentations CME, June 2009

Severe Abdominal Pain in a Young Girl After a Hug CME/CE A 16-year-old girl presents to the ED with abdominal pain and an itchy rash after being hugged. She also has a recent history of progressive abdominal fullness and discomfort. What is the diagnosis?
eMedicine Case Presentations CME, June 2009

A 50-Year-Old Woman With an Incidental But Significant Skin Finding CME/CE A 50-year-old woman presents with presumed exacerbation of COPD. Abnormal skin findings are noted during her physical examination. What is the condition responsible for the abnormal skin findings?
eMedicine Case Presentations CME, June 2009

A Young Man With Lower Back Pain and Low-Grade Fever CME A 19-year-old man presents with a recent history of back pain and stiffness, low-grade fever, malaise, and weight loss. He has been having trouble bending down. What is the underlying disease process?
eMedicine Case Presentations CME, June 2009

Painless Bloody Urination in a 60-Year Old Woman CME/CE A 60-year-old woman presents with a history of episodic painless hematuria that resolves spontaneously, with general malaise and weight loss. A CT scan of the pelvis is ordered. What is the diagnosis?
eMedicine Case Presentations CME, May 2009

Necrotic Skin Lesions in a 61-Year-Old Woman CME/CE A 61-year-old woman presents with venous leg ulcers and a history of angioimmunoblastic lymphadenopathy. The lesions are black, with surrounding redness and tenderness. What is the diagnosis?
eMedicine Case Presentations CME, May 2009

Tachycardia in a 61-Year-Old Woman CME/CE A 61-year-old woman presents with tachycardia, a nontender goiter, and weight loss. She has a past medical history of an unspecified thyroid problem. What is causing this patient’s tachycardia?
eMedicine Case Presentations CME, May 2009

An Uncommon Cause of Chest Pain in a Healthy Young Man CME/CE An 18-year-old man presents with sudden-onset, severe chest pain in the midsubsternal region that radiates to the neck and is associated with shortness of breath. What is the cause of his chest pain?
eMedicine Case Presentations CME, May 2009

A Pustular Rash and Fever in a 45-Year-Old Woman CME/CE A 45-year-old woman presents with a 2-day history of a pruritic rash. She developed a fever this morning. She has been taking azithromycin for a recent diagnosis of pneumonia. What is the diagnosis?
eMedicine Case Presentations CME, May 2009

A 31-Year-Old Woman With a Painful Right Wrist CME/CE A 31-year-old mother presents with a history of progressive right wrist pain. It intensifies when she picks up her child and has significantly affected her daily activities. What is the diagnosis?
eMedicine Case Presentations CME, May 2009

It Must Be Cardiac! CME/CE An elderly woman presents with vomiting, aphasia, and left hemiparesis following discontinuation of her metoclopramide therapy. An ECG is obtained. What is causing the abnormalities seen on her ECG?
eMedicine Case Presentations CME, May 2009

A 40-Day-Old Boy With Facial Swelling CME/CE A 40-day-old infant presents with 4-cm area of indurated, tender swelling and erythema along the left angle of the mandible. The infant is irritable and has a fever. What is the most likely diagnosis?
eMedicine Case Presentations CME, April 2009

A 42-Year-Old Man With Chest Pain CME A 42-year-old man presents with chest pain that began acutely following a tearing sensation and increases with movement. An early diastolic murmur in the aortic region is noted. What is the diagnosis?
eMedicine Case Presentations CME, April 2009

An Unusual Presentation of Recurrent Iron-Deficiency Anemia CME/CE A 24-year-old man presents with exertional dyspnea, mild chronic nausea, and a history of symptomatic anemia. Endoscopy reveals gastris nodules. A biopsy is performed. What is the underlying etiology?
eMedicine Case Presentations CME, April 2009

Recurrent Hemoptysis and Renal Impairment in a 45-Year-Old Man CME/CE A 45-year-old man presents with a history of painless ankle swelling, recurrent fevers, a productive cough, weight loss, anosmia, a change in the appearance of his nose. What is the diagnosis?
eMedicine Case Presentations CME, April 2009

Progressive Neurologic Deterioration in a 23-Year-Old Man CME/CE A 23-year-old man exhibits generalized tonic-clonic seizures, a dense left hemiparesis, and altered mental status following hospitalization for fatigue, tongue erosions, and a 22-lb (10-kg) weight loss. What is the diagnosis?
eMedicine Case Presentations CME, April 2009

A 5-Year-Old Boy With an Abnormal Left Eye CME/CE A 5-year-old boy is presented to his PCP with a 1-week history of a “gleam” in his left eye. The left eye is tender to the touch. Funduscopic examination reveals a yellowish mass, and retinal detachment is noted. What is the underlying cause?
eMedicine Case Presentations CME, April 2009

A Teenager With Confusion and an Empty Bottle of Pills CME A 19-year-old man with confusion and agitation is brought to the ED after ingesting a bottle of pills. An ECG is performed; shortly thereafter, the patient has a generalized tonic-clonic seizure. What is the cause of his abnormal ECG?
eMedicine Case Presentations CME, March 2009

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