57 year old man experienced several months of vague pains in his left chest and shoulder when climbing stair. During a touch football game at a family gathering, he had much more intense pain and had to rest. After 45 minutes of intermittent pain, his family brought him to a emergency department. His heart rate [...]
The pediatric endocrinologist is called in to consult on the case of a1-week-old girl. The baby was born at home and is now in the emergency department because she appeared listless and has not nursed during the past 24 hours. On physical examination, the baby exhibits signs of virilization (growth of pubic hair) and volume [...]
29 weeks old, 1000 gm baby boy is born vaginally after spontaneous rupture of membranes to a 17 years old primigravida mother who received no prenatal care. The infant is admitted to the neonatal intensive care unit where he receives routine care for low birth weight infants including mechanical ventilation umbilical catheterization and sepsis evaluation. [...]
Guys could you help me find out why in patients with sickle cell anemia osteomyelitis is commonly caused by salmonella and not by other bugs??
A mother brings her previously 6 year old son into your clinic because he has been limping and complaining of left leg and knee pain for 1 week. He has experience no recent trauma and his past medical history is unremarkable .His physical examination reveals a temperature of 100 0 F orally with no swelling, [...]
6 year old male presented with history of absence of right testis in the scrotum since birth. Patient’s mother noticed a small swelling in patients groin for last 2 years. Up, walks and strains, the swelling disappears on lying down. On examination the right scrotal sac is not well formed. The right testis in not [...]
A 60-year-old woman is referred to the emergency department (ED) because of a recent event of painless macroscopic hematuria. She reports having experienced several similar episodes during the past year, all of which resolved spontaneously. She regards these episodes as being of gynecologic origin because she is 5 years postmenopausal. She describes a general feeling [...]
13 years old female complaints of that her face and shoulder have “zits” every where. She has tried over-the-counter benzyl peroxide products and has stopped eating chocolate and French fries upon her mother advice, yet her skin continues to break out. She has been invited to go to a school dance in 6 weeks and [...]
30 years old patient came to the emergency department because of terrible headache that began several hours ago and did not improve .Previously he had experienced only mild, infrequent tension headache associated with stressful days. Because of the intensity of this new headache, he is treated with injectable analgesic and admitted to the hospital for [...]
6 month old child brought for well child examination .The child past medical and family histories are unmarkable except that goats milk is the child sole source of nutrition. Child is looking healthy. What hematological problem is most likely to develop in this infant?
48 years old man went for a vision examination because his eyesight had been blurry for the past several months. His optometrist referred him to his family physician after seeing a few areas of dense clumps of capillaries over the retinas of both eyes. The family physician finds fasting blood glucose of 297mg/dL. The man states [...]
