70 CASE 70 A 38-year-old man is transported to the emergency department after having fainted at home. The patient is a recent immigrant to the United States from equatorial Africa….

46 CASE 46 A 74-year-old woman is brought to her physician’s office by her daughter, who complains that her mother is behaving oddly. The woman lives in a house in…

66 CASE 66 A 16-year-old girl is brought to a physician by her parents because of the patient’s dramatic weight loss. The patient dances 4 days a week at a…

88 CASE 88 A 60-year-old man visits his primary care physician complaining of an inability to have sex with his wife. The patient reports an inability to achieve erections in…

84 CASE 84 A 32-year-old woman has an appointment with her gynecologist for a normal prenatal checkup. The patient is pregnant with gestational age estimated at 32 weeks. This is…

87 CASE 87 A 65-year-old man comes to the clinic complaining of difficulty in urinating. The patient states that over the past month he has had to get out of…

82 CASE 82 A 40-year-old pregnant woman visits her obstetrician after noting vaginal bleeding. The bleeding is a small volume and began during the previous night. Fetal age is estimated…

83 CASE 83 A pregnant 34-year-old woman arrives in the emergency department by ambulance after suffering a seizure while waiting in the optometrist’s office. The patient is at 29 weeks’…

81 CASE 81 A 24-year-old woman comes to the emergency department complaining of severe left lower quadrant pelvic pain and abnormal vaginal bleeding. The patient states that the pain began…

80 CASE 80 A 28-year-old nulliparous woman visits her gynecologist complaining of pelvic pain accompanying her menses. The patient states that the pain begins around 1 week before her menses…