Internal Medicine Cases & Quizzes

 
 
  • A 19-Year-Old Man With Life-Threatening Obesity A 19-year-old man presents with chief symptoms of morbid obesity and oozing skin ulcers. Can you identify the cause of his obesity and related conditions?
  • Mysterious Femur Fracture in a Middle-Aged Man A 49-year-old man with a history of osteopenia and HIV presents for follow-up after a visit to the ED 8 months ago with a midshaft femoral fracture. What likely contributed to his atypical fracture?
  • A 50-Year-Old Woman With Chest Pain: USMLE Question A 50-year-old woman presents to the emergency department after experiencing severe chest pain for 20 minutes. What is the most likely diagnosis?
  • Analyze This Image: Double Take Required   Something is up with this echo image--but maybe not what you first think.
  • Fast Five Quiz: Polycythemia Vera Polycythemia vera is a stem cell disorder associated with bleeding complications. Do you know key information about presentation, workup, and treatment? Test yourself with this quick quiz.
  • A 63-Year-Old Woman With Decreased Vision After experiencing 1 month of decreased vision in the superior visual field of the right eye, this patient comes to you for a diagnosis. Can you provide it?
  • Fast Five Quiz: Human Bite Wounds Most injuries due to human bites involve the hands and have a higher rate of infection than do injuries in other locations. Test yourself on key aspects of human bite wounds with this short quiz.
  • ECG Challenge: Is This an Effect of AFib Treatment? A man with atrial fibrillation, treated with a beta-blocker, undergoes a routine ECG. What does it show?
  • A Severe Headache in a Young Woman A 39-year-old woman experiences vomiting and a severe occipital headache that she describes as the worst she has ever had. She suffered a similar headache two days ago.
  • A 47-Year-Old Woman With a Swollen Left Leg: USMLE Question A 47-year-old woman presents with a swollen left leg. What risk factor is the most likely cause of her symptoms?
  • Would You Recognize Acute Delirium? An older woman presents with acute onset of mental status changes. Is it delirium, depression, dementia, or a mix?
  • Fast Five Quiz: Urticaria Acute urticaria may be associated with life-threatening angioedema and/or anaphylactic shock. Do you know key aspects of presentation, workup, and treatment? Test your knowledge with this short quiz.
  • Fast Five Quiz: Test Your Knowledge of Mantle Cell Lymphoma Mantle cell lymphoma is now recognized as a distinct clinicopathologic entity and represents 2%-10% of non-Hodgkin lymphomas. How much do you know about MCL? Test your knowledge with this short quiz.
  • A 52-Year-Old Woman With Night Vision Loss: USMLE Question A 52-year-old woman presents for evaluation of her night vision loss. She is at increased risk for developing what associated condition?
  • 'What Are These Bumps I See All Over?' How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees?
  • Fast Five Quiz: Heart Failure Heart failure is a worldwide problem and affects around 6.5 million Americans aged 20 years and older. Do you know key aspects of presentation, workup, and treatment? Test yourself with this quiz.
  • A 36-Year-Old Woman With Cramping and Diarrhea A 36-year-old woman with a medical history that includes hypertension and Hashimoto thyroiditis presents owing to recurrent diarrhea and 'foggy brain.' Are you able to make the diagnosis?
  • A Sudden Increase in Abdominal Girth in a 48-Year-Old Cirrhotic Patient A 48-year-old man with known cirrhosis develops increasing abdominal distention and dull pain. He also begins to experience altered mental status. What is the underlying cause of his condition?
  • ECG Challenge: What Is This Post-Stenting Rhythm? After myocardial infarction and stenting, what does this man's ECG show?
  • Fast Five Quiz: Probiotics Although much remains under investigation about probiotics, are you aware of their current uses, from common gastrointestinal disorders to other conditions? Test your knowledge with our short quiz.