A 20-Year-Old Female with an Array of Gastro Symptoms

A 20-Year-Old Female with an Array of Gastro Symptoms

The patient is a 20-year-old female who presents to urgent care with 2 days of nausea, vomiting, crampy abdominal pain, and inability to tolerate anything PO. Her personal medical history is remarkable for type I diabetes mellitus. View the ECG and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.

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A 24-Year-Old Female with a New, Unexplained ‘Rash’ on Her Leg

The patient is a 24-year-old woman who presents to urgent care with several linear lesions on her leg, accompanied by a burning skin sensation which developed days after starting a job as an outdoor bartender at a local beach resort. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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A 40-Year-Old Man with Cough and Fever During the COVID-19 Pandemic

A 40-Year-Old Man with Cough and Fever During the COVID-19 Pandemic

The patient is a 40-year-old man who presents with cough and fever. Living and working in New York City as cases of COVID-19 were on a steep incline, he acknowledges multiple exposures to individuals who could have been infected with the virus. Similarly, he reports that a close friend had the flu recently. View the x-ray and consider what your diagnosis and next steps would be.

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A 22-Year-Old Female with Frequent Nosebleeds and Abnormalities on Her Lips and Tongue

A 22-Year-Old Female with Frequent Nosebleeds and Abnormalities on Her Lips and Tongue

The patient is a 22-year-old woman who presents complaining of frequent nosebleeds. On exam, you note bright red macules and spider veins on her lips and tongue. They disappear briefly when you press on them. Review the image below and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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A 55-Year-Old Female with Hip Pain

A 55-Year-Old Female with Hip Pain

The patient is a 55-year-old woman who presents with what she calls minor pain in her left hip. She denies any trauma, and insists the pain “isn’t that bad.” She’s only seeking care as a precautionary measure in advance of a family camping trip. View the image taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.

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A 72-Year-Old Female with Lesions on Her Lower Legs

A 72-Year-Old Female with Lesions on Her Lower Legs

The patient is a 72-year-old woman who complains of multiple skin lesions on her lower legs. She says she first noticed them several months ago, appearing in a net-like pattern, then becoming painful ulcerations, and finally leaving atrophic scars. She is concerned because she had already had several bouts of deep vein thrombosis. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the …

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