Problem 34 Breathlessness and weight loss in a 58-year-old man Hubertus P.A. Jersmann A 58-year-old accountant presents with 3 months of progressive breathlessness on exertion. He has no associated chest…
Problem 17 Nausea and constipation in an older woman Robert Ludemann A 68-year-old woman presents with a 2-day history of nausea and constipation. She has not been able to eat…
Problem 49 A woman with palpitations David Torpy A 63-year-old female retired administrative assistant attends your preoperative assessment clinic prior to a diagnostic left knee arthroscopy after several months of…
Problem 47 Fatigue and bruising in a teenager Charles G. Mullighan A usually fit and active 13-year-old boy complains of gradually worsening tiredness for a month. In the last few…
Problem 43 An unwell young man in the emergency room Jonathan Mitchell, Mohammed M. Rashid A 33-year-old man presents to the emergency department after informing his partner that he had…
Problem 14 A woman with acute upper abdominal pain Duncan J. Stewart, Roger Ackroyd A 57-year-old woman is admitted with a 2-day history of increasingly severe upper abdominal pain, radiating…
Problem 40 A middle-aged man with sudden visual loss Sumu Simon, Robert Fitridge A 61-year-old man presents to the emergency department with complaints of sudden transient right monocular visual loss….
Problem 23 A 59-year-old man with calf pain Robert Fitridge A 59-year-old man presents with a 4-month history of pain in the right calf. The pain occurs only on walking…
Problem 31 A 68-year-old woman with breathlessness and yellow sputum Hubertus P.A. Jersmann You are working in the emergency department one winter evening. A 68-year-old woman is brought in by…
Problem 15 Flank pain in a 60-year-old man Darren Foreman A 60-year-old man presents with an 8-hour history of left flank pain. This had a sudden onset and the pain…
