CASE #52: Ellen is an obese 70-year-old female who presents…

CASE #52: Ellen is an obese 70-year-old female who presents to the ER because she states “my doctor can’t see me for another 3 weeks and I’m tired of hurting.” Patient reports that she has been experiencing bilateral knee pain that becomes “worse when it rains” and is lessened slightly with ibuprofen. Patient states that climbing stairs is often difficult and her joints are most stiff when she has been sitting or lying for some time. Crepitus is heard during joint flexion and extension bilaterally.  What is your initial diagnosis?

CASE #47: Eric is an 8-year-old male who is brought to the E…

CASE #47: Eric is an 8-year-old male who is brought to the ER by his mother with concerns over the progressing lethargy and weakness the patient is exhibiting. She states that he has been having reoccurring nose bleeds and bleeding of the gums and reports that he seems to be “sick all of the time.” A physical exam reveals areas of bruising as well as swollen lymph nodes in the neck, armpits and groin. Bloodwork shows a WBC count of 221,000/mcl. (Normal count is 4,000-11,000/mcl). What is your initial diagnosis?

The video will begin automatically after a brief delay. Plea…

The video will begin automatically after a brief delay. Please take notes on your LAT tool in between video viewings. You will have 3 minutes to take notes between each viewing, and this process will repeat three times total. Only after the third time will you be prompted to continue to the 10 questions relating to this video.   @@PLUGINFILE@@/LAT%202.mp4     Note: Do not click on the “Next Page” button below until the video has finished playing three times. Do NOT click on the “Previous Page” or “Back to Course” buttons below.

CASE #33: Peter is a 70-year-old male who presents to the ER…

CASE #33: Peter is a 70-year-old male who presents to the ER with complaints of sharp chest pains and is concerned that it might be a heart attack. Patient states that he has a “burning pain in the middle of his chest” that occurs after eating, especially a large meal. Upon questioning, he admits to experiencing regurgitation as well as difficulty swallowing and “getting food down.” He also states that it has begun to experience frequent nocturnal awakenings due to the pain. What is your initial diagnosis?