Trastuzumab therapy and essential baseline cardiac assessment
Question A 46-year-old female patient with advanced HER2-positive breast carcinoma is planned for therapy with Trastuzumab. Before starting treatment, which […]
Oncology
Neurology
Bitemporal Visual Field Loss and Chiasmal Compression Patterns
Question A 36-year-old male reports progressive visual blurring. On visual field testing, he is found to have loss of vision
Infectious Diseases
Nasal Ulcer After Tropical Travel: Think Mucocutaneous Infection
Question A 36-year-old traveler returns after several months living in remote jungle camps in South America. About 3 weeks later,
Cardiology
Clinical significance of a third heart sound in an older patient with exertional breathlessness
Question A 63-year-old man presents with gradually worsening breathlessness during exertion. On cardiac auscultation, an extra early diastolic sound is
Cardiology
Vasoreactivity Positive Pulmonary Hypertension Initial Management Strategy
Question A 29-year-old woman comes to clinic with gradually worsening breathlessness on exertion over several months. She has no significant
Cardiology
Rhythm Change After Defibrillation: What Should You Do Next?
Question A 60-year-old male collapses in a monitored cardiac unit and is undergoing advanced life support. After about 5 minutes
Haematology
Painful Postoperative Purpura Progressing to Skin Necrosis After Anticoagulation Initiation
Question A 60-year-old woman undergoes prosthetic mitral valve surgery and is started on anticoagulation with a vitamin K antagonist along
Statistics
Understanding Diagnostic Test Accuracy: Interpreting Specificity in Clinical Practice
Question A 52-year-old man presents with fever, cough producing sputum, and breathlessness. A diagnostic urine test for a bacterial infection
Gastroenterology
Chronic Dysphagia with Aspiration and Retrocardiac Air–Fluid Level
Question A 61-year-old woman presents to the emergency department with fever and a productive cough. She has otherwise been healthy
Infectious Diseases
Returning Traveler with High Fever, Rash, and Debilitating Joint Pain
Question A 26-year-old traveler comes to clinic after returning from South Asia. He complains of extremely intense pain in his