A 7-month-old infant presents with clusters of jackknife seizures occurring multiple times per day. EEG confirms infantile spasms. Which epilepsy syndrome is most consistent with this presentation?
A 68-year-old patient presents with sudden onset of left-sid…
A 68-year-old patient presents with sudden onset of left-sided weakness and slurred speech. Further evaluation reveals atherosclerotic plaque formation in the carotid artery. Which type of stroke is most consistent with this pathophysiologic mechanism?
A child presents with lateral curvature of the spine and rib…
A child presents with lateral curvature of the spine and rib prominence during forward bending. Imaging confirms vertebral rotation. Which condition is most consistent with this pathophysiologic presentation?
A 21-year-old patient presents with progressive weakness in…
A 21-year-old patient presents with progressive weakness in the legs that began 5 days prior and is now ascending to the arms. The patient reports a recent gastrointestinal illness. You suspect Guillain-Barre syndrome. Which additional finding would be most likely?
A patient in the ICU has no brainstem reflexes and a flat EE…
A patient in the ICU has no brainstem reflexes and a flat EEG for 12 hours. Based on the pathophysiologic criteria, which diagnosis is most appropriate?
Which statement best reflects the current understanding of a…
Which statement best reflects the current understanding of autism spectrum disorder (ASD) etiology?
A 55-year-old man with a history of heavy smoking, chronic a…
A 55-year-old man with a history of heavy smoking, chronic alcohol use, and long-standing type 2 diabetes presents with progressive weight loss, pruritus, and jaundice. Physical exam reveals a palpable epigastric mass. Which diagnosis best explains the obstructive symptoms and underlying cellular pathology?
A 60-year-old female is admitted for confusion and lethargy….
A 60-year-old female is admitted for confusion and lethargy. Neurological exam shows altered arousal. What is the most critical index of CNS function in evaluating her condition?
A 30-year-old male involved in a high-speed collision presen…
A 30-year-old male involved in a high-speed collision presents with prolonged unconsciousness. MRI shows widespread axonal damage. What is the primary mechanism of injury in diffuse axonal injury?
A 35-year-old woman presents with bloating, diarrhea, and we…
A 35-year-old woman presents with bloating, diarrhea, and weight loss. She reports symptoms worsen after consuming bread and pasta. Serologic testing reveals anti-tTG antibodies. Which condition is most likely based on this immune-mediated enteropathy?