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eMedicine is a seperate medical website that provides regular clinical challenges comprising a short case history accompanied by a visual cue in the form of a radiograph, ECG or photo. The answer to each is provided. To access these, click on one of the cases listed in the index below, after which you will leave the Global Family Doctor website and go to the eMedicine website.
Another service from eMedicine is a series of clinical problems in an interactive format with CME credit available after completion. To view these problems, click here.
Index - Click on the title below to view the item.
A 66 year-old man with progressive shortness of breath for the past 3 months. eMedicine 27 June 2007
A 37 year-old man with a 9-month history of food sticking in his throat. 12 September 2007
A 41-year-old HIV positive man with fever, malaise, a 20-lb weight loss in 3 months, and multiple chronic skin lesions. 5 September 2007
A 43-year-old man with no significant medical history with a ‘wound that won’t get better’ on the left side of his neck. 29 August 2007
An unidentified 35 year-old man found unresponsive on the street. 22 August 2007
A 67 year-old man with severe, progressive shortness of breath that started 4-5 days prior to presentation. 15 August 2007
A 67 year-old woman with pain in her chest and right shoulder after falling out of bed while on vacation. 8 August 2007
A 41 year-old man with a history of chronic back pain, depression and alcohol abuse, with slurred speech and confusion. 11 July 2007
A 66 year-old man with progressive shortness of breath for the past 3 months. 27 June 2007
A 26 year-old sexually active woman presents with an insidious onset of dull pelvic pain. 20 June 2007
A 66 year-old man with chest pain and shortness of breath that started several hours ago. 13 June 2007
An 83 year-old man with a history of COPD, CHF, and hypertension presents with a 6-week history of choking while eating. 6 June 2007
A 61-year-old man with left lower-extremity pain at rest and with a nonhealing ulcer of the left foot. 30 May 2007
An 86 year-old woman with a 4-day history of rash on her back and legs, as well as painful sores in her mouth. 23 May 2007
An 11 year-old girl who complains of pain in her right shin for the past month, specifically in the area just under her kneecap. 16 May 2007
A 40-year-old man who presents with palpitations and shortness of breath that started a few minutes ago. eMedicine 9 May 2007
A 29 year-old female seen three times for upper respiratory symptoms two weeks after competing in an outdoor obstacle course. eMedicine 2 May 2007
A 72 year-old man with urinary incontinence that started insidiously 2 months ago. eMedicine 25 April 2007
A 40-year-old nulliparous woman with a 1-month history of painful fullness of the right breast accompanied by slight redness of the overlying skin and a sensation of warmth. eMedicine 18 April 2007
A 72 year-old man who experienced acute onset of left-sided weakness that started 30 minutes beforehand. eMedicine 11 April 2007
A 7-year-old girl with a 3-week history of fever, leukopenia, nausea, abdominal pain, and arm weakness. eMedicine 4 April 2007
A 40-year-old woman with a panicky appearance, screaming, ‘I can't breathe’. She is anxiously flailing her arms and appears tachypneic and pale. eMedicine 28 March 2007
A 51-year-old man in a vascular surgery clinic for repair of an iliac artery aneurysm that was incidentally discovered on CT. eMedicine 21 March 2007
A 47-year-old man with severe left shoulder pain and intermittent fevers for 1 week. eMedicine 14 March 2007
An 85-year-old man presents for evaluation of an enlarging growth on the superior helix of his right ear. eMedicine 7 March 2007
A 76-year-old man with sudden-onset abdominal pain of 4 hours duration. eMedicine 28 February 2007
A 45-year-old man with swelling of the tongue that started about 30 minutes before. eMedicine 21 February 2007
A 52-year-old man with dribbling incontinence that started 5 days ago. eMedicine 15 February 2007
An 85-year-old man with right upper abdominal pain and weakness for the past 2 days. eMedicine 9 February 2007
A 54-year-old African-American woman with a history of right-sided chest discomfort and intermittent dry cough of 4 weeks' duration. eMedicine 25 January 2007
An 81-year-old woman with left upper quadrant pain associated with constipation and fever for the last 3 months. eMedicine 17 January 2007
A 61-year-old man with a chief complaint of painless hematuria. eMedicine 10 January 2007
A 9 year-old boy near a remote village in central Afghanistan with a chronic skin condition. eMedicine 13 December 2006
An 89 year-old woman with a 25-year history of hypertension, with progressive dyspnea that began 6 months ago. eMedicine 6 December 2006
A 28 day-old female neonate with a 1-week history of progressive erythema and swelling of her left nipple and breast. eMedicine 29 November 2006
A 75 year-old man with a 4-week history of progressive abdominal swelling and early satiety after meals. eMedicine 22 November 2006
A 32-year-old woman with several flesh-colored papules on her face, trunk, and upper extremities for 22 years. eMedicine 15 November 2006
A 59-year-old man with a diffuse, painful rash. eMedicine 8 November 2006
A bedridden 85 year-old woman with advanced multi-infarct dementia sent in for evaluation of a rash on her abdomen. eMedicine 1 November 2006
A 46 year-old woman with a history of worsening, constant right upper quadrant pain that radiates to her back and side. eMedicine 25 October 2006
A 69 year-old woman with metastatic clear-cell renal cell carcinoma with a maculopustular, acne-like rash on her scalp, face, and posterior aspect of her trunk. eMedicine 18 October 2006
A 58 year-old man with a history of hypertension, type 2 diabetes mellitus, and hyperlipidemia with a large, painless mass on the anterior aspect of the neck. eMedicine 11 October 2006
60 year-old smoker with a dry cough. eMedicine 4 October 2006
A 35 year-old man with sacral and right hip pain and increasing swelling in that region over the last 3 days. eMedicine 27 September 2006
A 14 month-old boy with persistent fever, vomiting, and diarrhea for 3 days. eMedicine 20 September 2006
A 22 year-old, otherwise healthy man, with a scaly, verrucous rash involving the side of his nose. eMedicine 13 September 2006
A 57 year-old man severe abdominal pain after being evacuated from a cruise ship. eMedicine 6 September 2006
15 year-old boy with a large bruise over the lower left ribs from being struck by a lacrosse ball. eMedicine 30 August 2006
A 37 year-old male army veteran with a 9-month history of food sticking in his throat. eMedicine 23 August 2006
A 52 year old woman with abdominal pain. eMedicine 16 August 2006
A 30 year old man with chest pain after a motor vehicle accident. eMedicine 9 August 2006
An 80 year-old man with dizziness and dyspnea. eMedicine 2 August 2006
A 68 year-old woman with intermittent substernal chest pressure and progressive dyspnea for 4 days. eMedicine 26 July 2006
An 18-year-old woman with exercise-induced syncope. eMedicine 19 July 2006
A 68 year-old woman with intermittent substernal chest pressure and progressive dyspnea for 4 days. eMedicine 12 July 2006
An 87 year-old man with a protuberant mass on his right heel for 2 months eMedicine 5 July 2006
A 62-year woman with a pancreatic mass eMedicine 28 June 2006
A 34 year-old man with a a pruritic rash on the left lower part of his chest. eMedicine 21 June 2006
A clinical problem to solve in a pigmented 76 year-old woman eMedicine 14 June 2006
A 56-year-old man with history of hepatitis C and diabetes mellitus with right flank pain and subjective fevers. eMedicine 7 June 2006
Angina and right upper quadrant mass in a 72 year-old woman eMedicine 31 May 2006
39 year-old man with a 6-month history of pain in his right ankle. eMedicine 24 May 2006
A 56 year-old man presents to the ED with severe chest pain. eMedicine 17 May 2006
A 52 year-old man who complains of a rash on his penis. eMedicine 10 May 2006
A 50 year-old woman presents because of an altered level of consciousness eMedicine 3 May 2006
A 47 year-old woman with recurrent painful and purulent lesions of the groin. eMedicine 26 April 2006
A 32-year old woman with dull pelvic pain worsening over the last several months. eMedicine 18 April 2006
A 32-year old man with an itchy painful rash on the back of his left leg. eMedicine 12 April 2006
A 21-year old college student with acute onset of left-sided flank pain eMedicine 5 April 2006
A 59 year old Hispanic man with progressive shortness of breath for 6 months and mild chest pain eMedicine 29 March 2006
A 12 year-old soccer player with anterior knee pain eMedicine 22 March 2006
A 68 year-old man with dysphagia and weight loss eMedicine 15 March 2006
A 50-year-old man with floaters in his left eye for the past week eMedicine 8 March 2006
A 42 year-old woman with breast calcification on screening mammography. eMedicine 1 March 2006
A 34-year-old man presents with chronic scrotal pain and a mass of 3-months' duration eMedicine 21 February 2006
A 62-year-old man with painful lump on the anterior mid tibia eMedicine 15 February 2006
A previously healthy 42-year-old woman with a painful, swollen ear eMedicine 8 February 2006
A 20-month-old toddler with a limp eMedicine 26 January 2006
A 2-year-old boy with pink-red urine eMedicine 18 January 2006
A 52-year-old man presents with right upper quadrant pain eMedicine 12 January 2006
A 55-year-old woman shot above the right eye with a BB gun. eMedicine 21 December 2005
Listless infant, aged 5 weeks, in the emergency department. eMedicine 14 December 2005
A 52-year-old man complaining of cough and shortness of breath of 5 months' duration eMedicine 7 December 2005
A 68-year-old man with swelling and redness of his right eye eMedicine 30 November 2005
A 28-year-old man with persistent headaches and lower-extremity claudication eMedicine 23 November 2005
A 46-year-old man with shortness of breath on mild exertion eMedicine 16 November 2005
A 56-year-old edentulous woman with impulsive facial movements eMedicine 9 November 2005
An 82-year-old man presents with slurred speech and Dysphagia eMedicine 2 November 2005
A child with abdominal pain after a handlebar injury eMedicine 31 October 2005
An unusual cause of a solitary pulmonary nodule in a 79 year old man eMedicine 26 October 2005
Unusual lesions of the hand eMedicine 19 October 2005
Man with a provisional diagnosis of biliary colic eMedicine 12 October 2005
Chest radiograph of a heavy smoker with cough and hemoptysis eMedicine 5 October 2005
A 19 year-old man presents with lower back pain and low-grade fever. eMedicine 30 September 2005
An 82-year-old man with Syncope. eMedicine 28 September 2005
A 55-year-old man with alcoholism and right hip pain. eMedicine 27 September 2005
An 81-year-old woman with altered mentation. eMedicine 23 September 2005
A 50-year-old woman with recurrent syncopal episodes eMedicine 21 September 2005
ECG changes in a 49-year-old man With Cirrhosis eMedicine 14 September 2005
A 42-year-old woman with vertigo after a motor vehicle accident eMedicine 7 September 2005
An 88-year-old man with chest pain radiating to the back and Shoulders eMedicine 30 August 2005
A 72-year-old man with right-sided chest pain and blood-streaked cough eMedicine 24 August 2005
A 45-year-old man with sudden onset of pain in the left eye eMedicine 17 August 2005
A 30-year-old woman presents with lower abdominal pain eMedicine 10 August 2005
An 81-year-old woman with left upper quadrant pain and constipation eMedicine 3 August 2005
A 61-year-old man with a red and swollen eye eMedicine 27 July 2005
An 89-year-old woman with severe abdominal pain eMedicine 20 July 2005
A 15 year old with persistent hand pain after minor injury eMedicine 13 July 2005
A 43-year old man with genital itching and soreness for 9 months eMedicine 6 July 2005
A 12 year old boy with headache and right-leg weakness eMedicine 15 June 2005
A 28-year-old unresponsive man with the 'hot nose sign' eMedicine 8 June 2005
Syncope in an otherwise healthy man eMedicine 25 May 2005
Radiograph of a young woman with shortness of breath eMedicine 18 May 2005
ECG of an elderly man with dyspnea eMedicine 12 May 2005
Hip pain while playing basketball eMedicine 5 May 2005
A teenager with confusion and an empty bottle of pills eMedicine 28 April 2005
A 65-year-old smoker with sudden onset of severe shortness of breath eMedicine 21 April 2005
A 38 year old man found lying outside an apartment building with altered mental status and …? eMedicine 14 April 2005
Worm found in a diaper of a two year-old boy with two days' diarrhea eMedicine 7 April 2005
A 43 year-old man with epigastric and shoulder pain eMedicine 30 March 2005
A 36 year-old man struck in the right eye while playing basketball eMedicine 24 March 2005
A 41 year-old woman with a rash on her back eMedicine 17 March 2005
A woman with palpitations and near syncope eMedicine 10 March 2005
Cervical mass in a newborn eMedicine 3 March 2005
A 26 year old pregnant woman with swelling of the lower lip eMedicine 24 February 2005
CT of a 42 year old man with chest heaviness eMedicine 17 February 2005
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