MedGenMed Clinical Cases Index

 
 
  • Gastroduodenal Obstruction From Morgagni Hernia in an Elderly Patient The authors report the case of a 91-year-old white female nursing home resident with chronic intermittent nausea and vomiting who presented to the emergency department.
  • A 58-Year-Old Man With Dysphagia The patient was admitted to the medical service with a 4- to 5-month history of progressive dysphagia, initially to solids and then liquids, resulting in a 30-lb weight loss. What is your diagnosis?
  • Ileocolonic Intussusception A 51-year-old white woman with no significant past medical history presented to the ED with 2 days of progressive nausea, vomiting, watery diarrhea, and subsequent right lower quadrant pain.
  • Hereditary Diffuse Gastric Cancer To the authors' knowledge, this is the first case report of a laparoscopic total gastrectomy for hereditary diffuse gastric cancer and CDH-1 gene mutation.
  • A 2-Year-Old Girl With Persistent Ascites The patient's medical history was unremarkable until she presented to her pediatrician with abdominal distension and mild constipation at age 15 months. Read the case report and make the diagnosis.
  • Case 10: It's "The Vision Thing" Learn about the diagnosis, prognosis, and treatment of this patient who was admitted to the hospital with a complaint of "I can't see."
  • Case 9: Pregnant? Who's Pregnant?: Memory Loss in a Young Woman The patient is a 19-year-old pregnant woman with a history of cystic fibrosis, Graves' disease, acquired hearing loss, and CF-related diabetes, who presents to the hospital after being "found down."
  • Chronic Diarrhea Due to Metastatic Breast Cancer The authors report the case of a patient with chronic diarrhea due to infiltrative cancer to the colon from the breast.
  • A Case of Polyneuropathy After Gastric Bypass Surgery A 44-year-old man status post gastric bypass 4 months prior to admission presented with 2 weeks of numbness and weakness in his lower extremities requiring him to use a walker at home to ambulate.
  • Gastric Mass What is your surgical approach to this 70-year-old woman who presented with a gastric-wall mass found on routine follow-up endoscopy performed after treatment for Helicobacter pylori and gastritis?
  • A 2-Month-Old With Persistent Diarrhea The patient was admitted to the hospital for dehydration associated with persistent diarrhea. Read the case report and make the diagnosis.
  • Case 8: Absentminded and "Walking Like a Drunk" Test your diagnostic skills in this Johns Hopkins Clinical Case: A 58-year-old man with no significant past medical history experienced rapidly progressive neurologic symptoms.
  • Lipoma Case Report The authors report the case of a patient with massive upper gastrointestinal hemorrhage secondary to an ulcerated gastric lipoma.
  • A 14-Month-Old Boy With Hematochezia This patient presented to the emergency department with a 3-day history of dark red blood in his stool and no associated abdominal pain, emesis, or fevers. Read the case report and make the diagnosis.
  • Case 7: Chief Complaint: Paraplegia and Encephalopathy Test your diagnostic skills with this challenging interactive case study from Johns Hopkins.
  • Case 3: Kicking, Yelling, and Sleeping An 80-year-old physician presents with a history of self-injury as a consequence of violent behavior during sleep.
  • An 84-Year-Old White Woman With Nausea, Vomiting, and Abdominal Pain This patient with a medical history of diverticulosis presented with a chief complaint of nausea, vomiting, and abdominal pain. Read the case report and make the diagnosis.
  • Life-Threatening Acute Airway Obstruction in Achalasia The authors present the case of an 82-year-old woman without previously diagnosed achalasia who had shortness of breath. Her respiratory status deteriorated rapidly, with development of stridor.
  • Case 2: An Irresistible Urge to Sleep An 18-year-old, white woman presents with a complaint of excessive daytime sleepiness and an irresistible urge to sleep during the day.
  • Esophageal Cyst A 65-year-old man presented with dysphagia to solids. An upper endoscopy revealed an extrinsic compression at the level of the cardia. What is your approach to work-up?
 
 
 
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