Work up a patient
Multi-stage encounters: make a decision, see what happens, decide again.
10 cases shown
A 24-year-old woman is brought to the ED 15 minutes after eating shrimp at a restaurant.
Emergency MedicineNeurologic SystemSudden Right-Sided Weakness and Aphasia in a 68-Year-Old WomanA 68-year-old woman is brought to the ED after her husband witnessed the sudden onset of right-sided weakness and slurred speech 90 minutes ago (last known well 90 minutes ago).
Internal MedicinePulmonary SystemSudden dyspnea and syncope after knee replacementA 64-year-old woman presents 6 days after total knee arthroplasty with the sudden onset of severe dyspnea and a witnessed syncopal episode.
Internal MedicineGastrointestinal System / NutritionHematemesis in a Man with Known CirrhosisA 58-year-old man with alcohol-related cirrhosis (Child-Pugh B) presents after vomiting bright red blood twice at home and passing a black tarry stool this morning.
General SurgeryGastrointestinal System / NutritionRight Lower Quadrant Pain in a Young AdultA 22-year-old man presents with 18 hours of abdominal pain that began periumbilically and later migrated to the right lower quadrant.
Women's HealthReproductive SystemSudden Pelvic Pain and Syncope at 7 WeeksA 27-year-old woman presents with sudden severe right lower quadrant pain that began 1 hour ago, followed by a brief syncopal episode.
PediatricsInfectious DiseasesThe 21-Day-Old With a FeverA 21-day-old, full-term, previously healthy boy is brought in by his parents for a rectal temperature of 38.6 C (101.5 F) at home.
PediatricsPulmonary SystemThe wheezing infant in DecemberA previously healthy 9-month-old is brought to the ED in mid-December with 3 days of nasal congestion, cough, and low-grade fever, now with worsening work of breathing and reduced feeding (roughly half of normal intake).
Psychiatric & Behavioral HealthPsychiatry / Behavioral ScienceAgitation and Tremor After a New Pain MedicationA 28-year-old man with major depressive disorder maintained on fluoxetine presents with 8 hours of worsening agitation, generalized tremor, and drenching sweats.
Family MedicineEndocrine SystemSix weeks of thirst and frequent urinationA 54-year-old man with no prior medical care presents with 6 weeks of increased thirst, frequent urination, and mild fatigue.