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Safana Abdullah
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Browse clinical cases by specialty — full notes & theory in one place
35 cases
CC: Yellow eyes and skin with dark urine
Final Diagnosis
Pancreatic adenocarcinoma (pancreatic head)
CC: Two days of fever and confusion after camping
Rocky Mountain spotted fever
CC: Worsening abdominal distension and confusion
Hepatic encephalopathy secondary to cirrhosis
CC: Pale child with sudden bruising and petechiae
Acute lymphoblastic leukemia (B-cell)
CC: Severe headache, worst of life, with vomiting
Aneurysmal subarachnoid hemorrhage (anterior communicating artery)
CC: Acute confusion and lethargy with high glucose
Diabetic ketoacidosis precipitated by missed insulin
CC: Periods of passing out and palpitations
Congenital Long QT Syndrome Type 1 with torsades de pointes
CC: New rash and joint pain after hiking
Early localized Lyme disease
CC: Falls and behavioral changes in a 70-year-old
Normal pressure hydrocephalus (NPH)
CC: Right-sided weakness and abnormal bleeding
Disseminated intravascular coagulation (DIC) secondary to sepsis
CC: Crushing substernal chest pain radiating to left arm
Acute inferior STEMI - RCA occlusion
CC: Epigastric pain radiating to back with nausea
Acute gallstone pancreatitis (mild)
CC: Cough, weight loss, and night sweats for 2 months
Active pulmonary tuberculosis
CC: Acute severe sore throat and fever
Acute epiglottitis (supraglottitis)
CC: Behavioral changes, memory problems, and tremor
Wilson disease (hepatolenticular degeneration)
CC: Chronic joint pain and morning stiffness in hands
Rheumatoid arthritis (seropositive, early)
CC: Bloody diarrhea and abdominal pain for 5 days
Hemolytic uremic syndrome (HUS) secondary to STEC infection
CC: Right upper quadrant abdominal pain after fatty meals
Acute calculous cholecystitis
CC: Elevated blood pressure found at screening
Resistant hypertension - primary aldosteronism suspected
CC: Agitated and seeing things that aren't there
Alcohol withdrawal delirium tremens (DTs)
CC: Vision changes, palpitations, tremors for 3 months
Graves' disease with thyroid eye disease
CC: Sudden weakness on right side and slurred speech
Acute ischemic stroke - left MCA M1 occlusion
CC: Worsening confusion, fever and cough for 3 days
Severe community-acquired pneumonia (CAP) - right lower lobe
CC: 3 days of fever, headache, and neck stiffness
Acute bacterial meningitis - Streptococcus pneumoniae
CC: Acute severe abdominal pain that started as epigastric
Acute appendicitis - laparoscopic appendectomy
CC: 26 weeks pregnant with headache, swelling, and visual changes
Severe preeclampsia at 26 weeks gestation
CC: Sudden onset shortness of breath and chest pain
Acute submassive pulmonary embolism with RV strain
CC: Fatigue, weight gain, cold intolerance for 6 months
Primary hypothyroidism due to Hashimoto's thyroiditis
CC: Excessive daytime sleepiness and loud snoring
Moderate obstructive sleep apnea (OSA)
CC: Crushing chest pain for 45 minutes
Acute inferior ST-elevation myocardial infarction (STEMI)
CC: Scaly rash on elbows and knees with joint pain
Chronic plaque psoriasis with psoriatic arthritis (asymmetric oligoarticular pattern)
CC: 5 days of high fever with rash and irritability
Kawasaki disease (complete, classic form)
CC: Sharp chest pain worse with deep breathing
Acute idiopathic (viral) pericarditis
CC: Itchy rash on cheeks and creases since 2 months old
Atopic dermatitis (infantile form, moderate severity)
CC: Wheezing and difficulty breathing for 2 days
Acute viral bronchiolitis due to RSV
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