4 CASE 4 A 48-year-old man comes to the emergency department complaining of trouble seeing and has difficulty swallowing. The patient is not from the area but is visiting friends…

1 CASE 1 A 42-year-old man comes to his primary care physician complaining of awkwardness when running or walking. The patient indicates that he noticed trouble with cramping and weakness…

12 CASE 12 A 73-year-old man comes to the emergency department complaining of chest pain, shortness of breath on exertion, and syncope. The patient has poorly managed hypercholesterolemia and a…

6 CASE 6 A 3-year-old boy is brought to the clinic for physical examination. His mother reports that the child has difficulty in walking and he appears clumsy compared with…

9 CASE 9 A 45-year-old man comes to the emergency department complaining of sharp, stabbing chest pain beneath the sternum. The patient is anxious, and his cognitive abilities are slightly…

10 CASE 10 A 58-year-old woman comes to her primary care physician complaining of shortness of breath and difficulty sleeping at night, especially while lying down. She complains of coughing…

3 CASE 3 A 35-year-old woman comes to her primary care physician complaining of difficulty in walking. On questioning, the patient indicates she had trouble walking for 5 days last…

2 CASE 2 A 54-year-old woman returns to her oncologist for continuing treatment of recurrent ovarian cancer. It is 2 days since treatment, and she is now complaining of paresthesia…