eMedicine CME Case Presentations

• A 26-Year-Old Man With Altered Mental Status CME/CE Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found. An ECG is ordered. What is the diagnosis?
  eMedicine Case Presentations CME, November 2009
• A 36-Year-Old Man With Intractable Vomiting CME/CE A 36-year-old man presents to the ED with a 1-month history of frequent emesis. He often vomits more than 10 times daily. It is accompanied by a constant, mild epigastric pain. What is the diagnosis?
  eMedicine Case Presentations CME, October 2009
• Seizures in a 42-Year-Old Man in Methadone Treatment CME/CE A 42-year-old comatose man is brought to the ED after 2 episodes of syncope with urinary incontinence and myoclonic jerks. Among other medications, the patient is on a methadone regimen. Diagnosis?
  eMedicine Case Presentations CME, October 2009
• Recurrent Abdominal Pain With Abdominal Distention CME/CE A 70-year-old woman presents with a history of bouts of abdominal pain that resolve spontaneously after minor treatment. She has developed increasing pain and distention. What is the diagnosis?
  eMedicine Case Presentations CME, October 2009
• An Unusual Cause of Lower Abdominal Pain in a 28-Year-Old Man CME/CE A 28-year-old man presents to the ED with intermittent lower abdominal pain, loose stools, myalgia, and fever. Magnetic resonance imaging (MRI) of the pelvis is obtained. What is the diagnosis?
  eMedicine Case Presentations CME, October 2009
• Upper Gastrointestinal Bleeding in a 47-Year-Old Man CME/CE A 47-year-old man with a history of chronic pancreatitis presents to the ED with lightheadedness, fatigue, abdominal discomfort, and profuse hematochezia (among other symptoms). What is the diagnosis?
  eMedicine Case Presentations CME, October 2009
• Unexplained Refractory Fevers in a 14-Year-Old Boy CME/CE A 14-year-old boy presents with a 2-week history of fevers, generalized fatigue, headaches, and neck stiffness. He recently developed dry, fissured lips and a rash on his hands. What is the diagnosis?
  eMedicine Case Presentations CME, October 2009
• Jaundice and Fever Following a Trip Abroad CME/CE A 30-year-old man presents with fever, jaundice, and abdominal pain following a trip abroad. He took antibiotics, with no effect. His blood is examined under magnification. What is the diagnosis?
  eMedicine Case Presentations CME, October 2009
• A 41-Year-Old Man With Sudden-Onset Headache and Diplopia CME A 41-year-old man presents to the ED with an acute severe headache associated diplopia, photophobia, nausea, vomiting, and fever. The patient also has mild gynecomastia. What is the diagnosis?
  eMedicine Case Presentations CME, September 2009
• Shoulder Pain in a 57-Year-Old Man CME/CE A 57-year-old man presents to the ED with a 3-month history of left shoulder pain. Radiography reveals multiple lytic lesions of the neck and scapula. What is your diagnosis?
  eMedicine Case Presentations CME, September 2009
• An Unusual Presentation of a Lingual Ulcerative Lesion CME/CE A 78-year-old man presents with progressive discomfort and a lesion on his tongue. His history is significant for oral surgery performed 15 years ago. A biopsy is obtained. What is the diagnosis?
  eMedicine Case Presentations CME, September 2009
• Persistent Dyspnea in a 56-Year-Old Woman With Pulmonary Sarcoidosis CME A 56-year-old woman with a history of pulmonary sarcoidosis presents with progressive, worsening dyspnea. Despite past steroid therapy, her dyspnea has persisted and worsened. What is the diagnosis?
  eMedicine Case Presentations CME, September 2009
• A 16-Year-Old Boy With a Fever of Unknown Origin CME/CE A 16-year-old boy is presented with an 11-day history of fever and weight loss. An erythematous macular rash is noted on his face. He has not responded to antibiotic therapy. What is the diagnosis?
  eMedicine Case Presentations CME, September 2009
• Young Girl With Clumsiness, Dystonia, and Speech Difficulty CME/CE A 17-year-old girl has developed slowly progressive clumsiness over the past 6 months. She now displays dystonic movement of all of her limbs, as well as impaired speech. What is the diagnosis?
  eMedicine Case Presentations CME, September 2009
• Abdominal Pain and Syncope in a 61-Year-Old Woman CME/CE A 61-year-old woman presents with severe upper abdominal pain. Palpation of the abdomen increases the pain. The patient has a past medical history significant for hepatitis C. What is the diagnosis?
  eMedicine Case Presentations CME, August 2009
• Bilious Emesis in a Newborn CME A 3-day-old boy is brought to the ED with a 2-day history of feeding intolerance and persistent vomiting. The vomiting has become green and occurs even without oral intake. What is the diagnosis?
  eMedicine Case Presentations CME, August 2009
• Dyspnea After In Vitro Fertilization CME A 33-year-old pregnant woman presents to the ED for sudden onset of dyspnea 1 week after in vitro fertilization. She has had abdominal pain, distension, nausea, and vomiting. What is the diagnosis?
  eMedicine Case Presentations CME, August 2009
• A 14-Year-Old Girl With Purulent Ear Discharge and Double Vision CME A 14-year-old girl presents to the ED with a 2-week history of ear pain and discharge. Swelling and tenderness behind the left ear lobe, with discharge from the ear, are noted. What is the diagnosis?
  eMedicine Case Presentations CME, August 2009
• Deterioration of School Performance in a 9-Year-Old Girl CME A 9-year-old girl is presented to the ED with several episodes of vomiting. Her school performance has deteriorated over the past year, and a change in her gait has been noted. What is the diagnosis?
  eMedicine Case Presentations CME, August 2009
• A Young Woman With Exercise-Induced Syncope CME An 18-year-old woman presents to the ED after fainting while backpacking. She had no antecedent chest pain, shortness of breath, palpitations, or dizziness. An ECG is obtained. What is the diagnosis?
  eMedicine Case Presentations CME, July 2009