Fixed Splitting of the Second Heart Sound with Incidental ECG Abnormality
Question A 30-year-old woman is evaluated after an incidental abnormal ECG. She has no symptoms. On auscultation, there is a […]
Cardiology
Neurology
Recurrent Neurological Deficits with Demyelinating Features
Question A 39-year-old woman presents with sudden onset tingling and weakness affecting her left arm and leg. One year ago,
Neurology
When Hand Numbness Is Not Just a Wrist Problem
Question A 62-year-old man reports tingling over the thumb and index finger of one hand. He also mentions difficulty holding
Pharmacology
Mechanism of Dual Antiplatelet Therapy in Acute ST-Elevation Presentation
Question A 70-year-old man with no significant past illness presents with crushing chest discomfort. ECG reveals ST elevation in anterior
Dermatology
Diffuse Skin Discolouration Following Acne Therapy
Question: A 16-year-old boy returns for review 1 month after starting oral therapy for acne. He discontinued the medication recently
Pharmacology
Accidental Drug Injection Causing Acute Digital Ischaemia
Question A 38-year-old healthcare worker accidentally injects epinephrine into his index finger while assisting in an allergic emergency. Shortly after,
Infectious Diseases
Night-Time Itching in a Household Cluster
Question A 30-year-old father visits his doctor after receiving a notice from his child’s daycare about a possible parasitic infection
Renal
Family history of inherited kidney disease with risk of neurological complications
Question A 25-year-old male visits his family doctor requesting evaluation for a hereditary illness present in his family. His father
Gastroenterology
Silent obstructive jaundice with malabsorption and a right upper quadrant mass
Question A 76-year-old man comes with a 4-month history of gradually worsening loose stools that are greasy, foul-smelling, and difficult
Dermatology
Facial rash involving nasolabial folds with systemic association
Question A 57-year-old male presents with a facial rash. On examination, there are reddish-pink, mildly scaly, poorly demarcated patches affecting