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History and Present Illness
A man in his mid-20s comes to the emergency department (ED) with a 2-week history of right frontal headache. The patient reports crashing into someone at a skate park. He...
Home » Features » Clinical Challenge
History and Present Illness
A patient in their mid-30s with a history of migraine presents to the emergency department (ED) with a posterior headache that came on suddenly 2 hours ago. The headache is...
Home » Features » Clinical Challenge
History and Present Illness
A 72-year-old man with a history of bradycardia and transient ischemic attack (TIA) is transported from a skilled nursing facility for evaluation of altered mental status. In the emergency department...
Home » Features » Clinical Challenge
History of Present Illness
A man in his mid-20s presents to the emergency department (ED) with a 2-day history of left upper quadrant and epigastric abdominal pain associated with vomiting. The patient reports no...
Home » Features » Clinical Challenge
History of Present Illness
A woman in her mid-20s presents to the emergency department (ED) with a 2-day history of sore throat and fever (102.9 ⁰F). She denies having symptoms of cough, shortness of...
Home » Features » Clinical Challenge
History of Present Illness
A patient in his mid-60s with a history of end-stage renal disease (ESRD) presents to the emergency department (ED) with a 4-day history of left ring finger pain and discoloration....
Home » Features » Clinical Challenge
History of Present Illness
A patient in their mid-40s with a history of HIV presents to the emergency department (ED) with a 3- to 4-week history of vomiting and testicle pain that is associated...
Home » Features » Clinical Challenge
History of Present Illness
A man in his mid-60s with a history of gout presents to the emergency department with a 2- to 3-week history of a gradually worsening rash on both lower legs,...
Home » Features » Clinical Challenge
History of Present Illness
A woman in her mid-40s presents to the emergency department with a 3-day history of pleuritic-like chest pain on the left side with accompanying shortness of breath, nausea, and loss...
Home » Features » Clinical Challenge
History of Present Illness
A woman in her mid-50s presents to the emergency department with a history of nonradiating epigastric pain that began 36 hours ago. The patient notes that the pain has become...