Case Files

In medicine, patients are the best teachers.This page highlights some of the most important and most interesting lessons.

De-identificaiton is undertaken utilizing the Safe Harbor method described by the US Department of Health and Human Services : Health Information Privacy (HHS.gov) All remaining patient information required for teaching purposes has been altered to maintain this standard.
A Rare Cause Of Splenic Rupture
Hx: A male in his 30s presents with abdominal pain and vomiting. He relates that he was recently hospitalized for
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Lethargy and Weakness
A patient in his 70’s presents with diffuse myalgias, weakness, and confusion. He reports he fell out of bed and
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With or Without Contrast ?
Hx: A middle aged woman presents with flank pain. She has no past medical history and notes sudden onset of
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Pediatric Syncope
Hx: A young teenager presents with syncope. Parents note he had 2 episodes today without any preceding problems but the
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Intentional Overdose
Hx: A 55 yo man presents after an intentional overdose. He is transported by EMS after his family found him
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Inhalation Injury
Hx: A male in his 20’s is working when he mixes lime away and bleach in a bottle. He then
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Penetrating Head Injury
Hx: A 60 yo male is transported to a trauma center for a penetrating head injury. EMS reports a hand
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STEMI by CT?
Hx: A male in his 60’s presents to a small ED with nausea and vomiting for 24 hours. He denies
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Back Stabbing
Hx: A prison guard is stabbed by an inmate. He is stabbed in the upper back on the left side
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Persistent Vomiting
Hx: A male in his 60’s presents with persistent nausea and vomiting for 4 days. He denies any significant abdominal
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