**“Predicting Early Mortality After Myocardial Infarction: Which Factor Matters Most?
Question A 59-year-old man is reviewed 4 weeks after being discharged following an acute ST-elevation myocardial infarction treated with primary […]
Cardiology
Respiratory
Fibrosis, Dust, and TB
A 58-year-old man attends a chest clinic with gradually worsening breathlessness and a chronic dry cough. High-resolution CT of the
Infectious Diseases
An Intensely Itchy Rash That Migrates Rapidly
Question A 43-year-old man presents to the emergency department with intermittent abdominal bloating, mild diarrhoea, and an intensely itchy rash
Cardiology
Premature infant with murmur
A 32-year-old woman delivers a premature male infant at 31 weeks’ gestation. During early pregnancy, she experienced a short febrile
Pharmacology
Theophylline
A 52-year-old man with long-standing COPD is treated with sustained-release theophylline for symptom control. His respiratory symptoms have recently worsened
Rheumatology
Recurrent fever, abdominal/chest pain and joint pains.
Question A 52-year-old man attends the acute medical unit with episodic severe abdominal discomfort, fever, painful swollen joints, and pleuritic
Cardiology
Wide split S2
A 24-year-old woman attends a cardiology clinic because of intermittent awareness of her heartbeat. She has been otherwise healthy with
Neurology
Motion sickness
A 29-year-old man is preparing for a long journey across several countries, during which he expects to spend many hours
Respiratory
Dyspnea
A 28-year-old woman reports gradually worsening shortness of breath over the past 10–12 months. She now needs to pause after