Problem 44 A 68-year-old woman with a left hemiplegia following a conscious collapse Timothy Kleinig A previously independent, right-handed 68-year-old woman slid to the floor while eating lunch with her…
Problem 12 Dysphagia and weight loss in a middle-aged man Sarah K. Thompson A 55-year-old man presents with a 3-month history of dysphagia and weight loss. He reports that his…
Problem 38 A 35-year-old woman with hypertension Anne Tonkin A 35-year-old woman presents to the emergency department complaining of 5 days of progressive generalized headache and nausea. Her blood pressure…
Problem 41 ‘Jack has leg weakness’ Gabriel Lee Jack is a 39-year-old electrical engineer. In the past few months, he has noticed that his left leg feels weak. There is…
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…
