Clinical

Dyspnea and abdominal pain—what next steps would you recommend?

Figure 1 Quiz of the Week A 66-year-old male with a history of hypertension presents to the emergency department with dyspnea and sharp abdominal pain radiating to his back. On examination, his blood pressure is 180/120 mm Hg. A CT scan demonstrates the findings seen here and laboratory testing indicates that his renal function is...

Woman with COPD develops white film on eye

Figure 1 Quiz of the Week An 85-year-old woman is admitted to the hospital with COPD. She is treated with bronchodilators, oral glucocorticoids, antibiotics, and non-invasive ventilation for 7 days. A new thin white film appears on the patient’s cornea. It does not slough with swabbing, and the patient is asymptomatic.   Image credit: @JenkinsMD....

Do you recognize this triad?

Figure 1 Quiz of the Week A 25-year-old male presents to the emergency department with headache, retro-orbital pain, and diplopia when gazing to the right. He had visited an urgent care clinic with right ear pain two weeks earlier and had received a short course of antibiotics. After some initial improvement, he became increasingly unwell...

Developmental delay and hypocalcemia—what’s the cause?

Figure 1 Quiz of the Week A 9-year-old girl is brought to a new pediatrician by her mother over concerns regarding her weight. She has a history of developmental delay, and her mother mentions that she is noticeably shorter than her peers. She is noted to have a round face and bilaterally shortened fourth metacarpals...