Test your bedside diagnostic skills with this free clinical case question. A 53-year-old woman with a 6-month history of morning stiffness involving her wrist, fingers, and knees presents with the acute onset of pain and swelling of the left leg, more pronounced on walking. She states that she has had a large, soft lump in the back of the left … Read More
Bedside Diagnostic Challenge – 16-year-old girl with lack of bowel movements
Test your bedside diagnostic skills with this free clinical case question. A 16-year-old girl is brought to her physician because of lack of bowel movements. The patient states that for the past 3 months, she has had a bowel movement only every other week. She describes them as normal in color and consistency. She has had no abdominal pain or … Read More
Bedside Diagnostic Challenge – A 54-year-old woman with attacks of pain, burning, and redness on hands and feet
Test your bedside diagnostic skills with this free clinical case question. A 54-year-old woman presents with attacks of pain, burning, and redness of her hands and feet. Attacks appear suddenly, last for a half-hour to an hour and are quite disabling. They occur every 2-3 days, are not related to activity, and have been occurring for about two weeks. Interestingly, … Read More
Bedside Diagnostic Challenge – 23-year-old man presents with acute onset of severe abdominal pain
Test your bedside diagnostic skills with this free clinical case question. A 23-year-old man, a resident of Istanbul, Turkey, is visiting relatives in Chicago when he presents to a local hospital with the acute onset of severe abdominal pain, pain on the right side of his chest during deep inspiration, and fever. He describes 3 to 4 recurrent episodes of … Read More
Bedside Diagnostic Challenge – A 43-year-old man with abdominal pain and weakness after a liver biopsy
Test your bedside diagnostic skills with this free clinical case question. A 43-year-old man underwent a liver biopsy to evaluate a preliminary diagnosis of hemochromatosis. One and a half hours after the procedure, the patient began to complain of abdominal pain and weakness. The GI Fellow who performed the liver biopsy examined the patient who was noted to be very … Read More
Bedside Diagnostic Challenge – A 72-year-old man presents with complaint of weakness, lethargy
Test your bedside diagnostic skills with this free clinical case question. A 72-year-old man presents with the complaint of weakness and lethargy for about 6 months. He indicates that the weakness is more pronounced after exercise and is relieved by eating. He states that his past health has been excellent with no illnesses other than common colds. He is on … Read More
Bedside Diagnostic Challenge – 47-year-old woman with bilateral leg swelling
Test your bedside diagnostic skills with this free clinical case question. A 47-year-old-woman presents with the complaint of bilateral leg swelling of 2 week’s duration. She states that she had been in good health until about a month ago when she had a sore throat and low- grade fever for a few days. She then felt well until becoming aware … Read More
Bedside Diagnostic Challenge – 24-year-old woman with weakness
Test your bedside diagnostic skills with this free clinical case question. A 24-year-old woman presents with the complaints of general weakness, depression and aching of her large joints for the last few months. These symptoms began insidiously but have become progressively more pronounced over the past few weeks. The aching joints are somewhat relieved by 6-8 acetaminophen per day. She … Read More
Bedside Diagnostic Challenge – 44-year-old woman with leg and ankle pain
Today’s Bedside Diagnostic Challenge question comes from the desk of Med-Challenger Internal Medicine Editor-in-Chief, Paul F. Griner, MD, MACP. Test your bedside diagnostic skills with this review question. A 44-year-old woman presents with the complaint of pain in her lower legs and ankles for the past two months. Her past medical history and review of systems is benign and she … Read More
Bedside Diagnostic Challenge – 37-year-old woman with fever
Today’s Bedside Diagnostic Challenge question comes from the desk of Med-Challenger Internal Medicine Editor-in-Chief, Paul F. Griner, MD, MACP. Test your bedside diagnostic skills with this review question. A 37-year-old woman presents to a local hospital with the complaint of a high fever. She is visiting from another state and has not been ill until the onset of cough and … Read More
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