57 CASE 57 A 26-year-old woman presents with fatigue and loose “sawdust-like” bowel movements as often as three times per day. She also notes an occasional rash over her joints…

44 CASE 44 A 68-year-old man visits his physician’s office complaining of trembling hands and difficulty in walking. The patient is married and lives at home with his wife of…

76 CASE 76 A 28-year-old woman complains to her obstetrician of amenorrhea and milk discharge from her nipples. The patient was involved in a motorcycle accident 3 months ago. Injuries…

73 CASE 73 A 56-year-old woman presents to the emergency department with chest pain, sweating, extreme anxiety, abdominal pain, pale skin, and a racing heart. The patient has experienced these…

75 CASE 75 A 42-year-old man comes to his physician because of a decrease in sexual desire and erectile dysfunction. The patient noticed visual problems and headaches during the past…

50 CASE 50 A 45-year-old man comes to his physician complaining of a drooping eyelid and facial twitching on the left side of his face. The patient first noticed the…

49 CASE 49 A 37-year-old man comes to the physician’s office complaining of chronic pain in the upper and middle back, headaches, muscle weakness in the hands, and loss of…

45 CASE 45 A 19-year-old college student comes to student health services complaining of sporadic loss of memory. The periods of amnesia occur while the student is awake and occasionally…

67 CASE 67 A 23-year-old woman comes to her family physician complaining about weight gain. The patient has gained 20 pounds since graduating from college 2 years ago and is…

69 CASE 69 A 20-year-old man is brought to the emergency department after camping in the winter with some friends. He became cold and wet during a rainstorm during the…