79-year-old Man with Severe Left Leg Pain of Two Days Duration – Bedside Diagnosis Challenge

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Personal Education, Physician Assistant, Urgent Care

79-year-old Man with Severe Left Leg Pain of Two Days Duration - Bedside Diagnosis Challenge

79-Year-Old Man Presents with Complaint of Severe Left Leg Pain of Two Days Duration – Bedside Diagnosis ChallengeA 79-year-old man presents to his physician with the complaint of severe left leg pain of 2 days duration. The patient was in good health until 5 weeks ago when he tripped and fell on his left side in the kitchen of his … Read More

Bedside Diagnostic Challenge – An Elderly Woman Presents to the Emergency Room Confused and Disoriented

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine

confused and disoriented elderly woman diagnostic case

Bedside Diagnostic Challenge – An Elderly Woman Presents to the Emergency Room Confused and DisorientedBonus Follow-Up Question included in answer explanation.An elderly woman is brought to the emergency room of a local hospital after she is found wandering along the street and, upon questioning by the police, is noted to be confused and disoriented. In the emergency room, her personal … Read More

Bedside Diagnostic Challenge – A 56-year-old, Post-menopausal Woman with Enlarging Abdomen

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Physician Assistant, Urgent Care

enlarging abdomen ascites

Bedside Diagnostic Challenge – A 56-year-old, post-menopausal woman with enlarging abdomenA 56-year-old, post-menopausal woman presents with the complaint of an enlarging abdomen. She states that she noticed her dresses becoming tighter over the past 2 months. She measured her abdominal girth a few days ago and noted that it was 3 inches larger than her usual size. She has not … Read More

Rescuing Bedside Medicine

Paul Griner, MD, MACPEmergency Medicine, Family Medicine, Group Education, Internal Medicine, Medical News, Medical Schools, Nurse Practitioner, Nursing Programs, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Residency Programs

Bedside Medicine - Rescuing Bedside Medicine

Rescuing Bedside Medicine: The Fundamental Unit of Care Isn’t High TechBedside Medicine is under siege from a glut of new technology and limited patient interaction time.  While medical practice has changed remarkably during the lifetime of most of today’s physicians, the fundamental unit of care has not.  It is bedside medicine, specifically the clinical transaction – the interaction between doctor … Read More

Bedside Diagnostic Challenge – A 56-year-old woman presents with the complaint of shortness of breath

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Physician Assistant, Urgent Care

shortness of breath aortic stenosis upstroke

Shortness of Breath: Bedside Diagnostic ChallengeA 56-year-old woman presents with the complaint of shortness of breath.A 56-year-old woman presents with the complaint of shortness of breath. She indicates that the shortness of breath is precipitated by exertion and is worse at end of the day, particularly during the night when she has to sit on the side of the bed … Read More

Bedside Diagnostic Challenge – A 59-year-old Woman with Multiple Red Spots on Her Legs

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

red spots on legs of 49-year-old woman diagnostic challenge

Bedside Diagnostic ChallengeA 59-year-old woman presents to her primary care physician with the complaint of multiple red spots on her legs of 2 days duration.A 59-year-old woman presents to her primary care physician with the complaint of multiple red spots on her legs of 2 days duration. She had been in good health with the exception of a lower urinary … Read More

Bedside Diagnostic Challenge – A 53-year-old woman with acute onset of pain and swelling of the left leg.

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

bedside diagnosis ruptured baker's cyst case

Bedside Diagnostic ChallengeA 53-year-old woman with a 6-month history of morning stiffness presents with acute onset of pain and swelling of the left leg.Test your bedside diagnostic skills with this free clinical case question.Patient Case: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 … Read More

Bedside Diagnostic Challenge – 16-year-old girl with lack of bowel movements

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

16-year-old-with-lack-of-bowel-movements

Bedside Diagnostic ChallengeA 16-year-old girl with lack of bowel movements.Test your bedside diagnostic skills with this free clinical case question.Patient Case: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 … Read More

Bedside Diagnostic Challenge – A 54-year-old woman with attacks of pain, burning, and redness on hands and feet

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner

diagnostic case - woman with pain, burning and redness on hands and feet

Test your bedside diagnostic skills with this free clinical case question. Patient CaseA 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. … Read More

Bedside Diagnostic Challenge – 23-year-old man presents with acute onset of severe abdominal pain

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner

Med-Challenger Medical Education Blog: Man with acute onset of severe abdominal pain, pain on the right side of the chest with deep inspiration, and fever

Test your bedside diagnostic skills with this free clinical case question. Patient CaseA 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 … Read More