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Medical Cases

Clinic Hours is a clinical decision support/reference app for doctors, residents, and medical students. Read about the latest medical news, drug updates, journal articles & CME activities in one app designed for healthcare professionals. Discuss, discover, solve and share real live cases with top healthcare experts.

Medical Cases
December 28, 2023

Posterior wall myocardial Infarction case

History: A 55 yr old male presented to ED with severe left-sided chest pain from 20 minutes radiating to the left arm associated with SOB and diaphoresis. Bp - 140/82mmhg,…
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Medical Cases
September 28, 2023

Atrial fibrillation in CKD patient case

History: A 67-year-old male k/c/o CKD-5 on MHD thrice weekly with Type2DM & HTN presented to ED with SOB, anasarca and AMS. P - 164 bpm irregular, SP02- 80 %…
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Medical Cases
September 3, 2023

Intracranial hemorrhage in CKD patient case

History: A 47-year-old male was brought to ED in an unresponsive state with h/o 1 episode of seizure at home. He is k/c/o CKD5 on MHD twice weekly. BP -…
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Medical Cases
June 27, 2023

Port wine stain case

History: A 8-month girl was brought to Dermatology OPD by her mother with a diffuse reddish macular lesion on the right side of her face present since birth. Lesion was…
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Medical Cases
June 15, 2023

Foreign body Ingestion case

History: A 8 yr old boy came to the ED with accidental ingestion of an Endodontic file while having a dental procedure. Pt. was asymptomatic at the time of presentation…
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Medical Cases
June 1, 2023

Sine wave appearance in Hyperkalaemia

History: A 56 yr old k/c/o CKD-5 on MHD thrice weekly with HTN presented to ED with SOB, drowsy, anasarca. He has missed his hemodialysis this week. BP-170/102 mmhg, P-84…
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Medical Cases
May 12, 2023

Rice grain calcification in cysticercosis

History: A 56 year old female presented to ED with 1 episode of GTC seizure. Neurological examination was normal except for postictal confusion. NCCT brain showed multiple calcified granuloma, some…
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Medical Cases
March 1, 2023

Duchenne muscular dystrophy case

History: A 14 year-old boy presented with progressive proximal weakness of the lower limbs starting at 4 years of age followed by involvement of the upper limbs. He is the product…
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Medical Cases
February 10, 2023

Cannonball metastasis case

History: A 24-year-old male presented to the hospital with a cough productive of reddish sputum and shortness of breath of 6 days duration. The exam showed a left testicular mass.…
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Medical Cases
February 8, 2023

Cholesterol embolization syndrome case

History: A 60 yr old male had developed livedo reticularis on the left side of his face after he underwent stenting and balloon dilation of the left common carotid artery.…
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Medical Cases
February 6, 2023

Auriculotemporal syndrome case

History: A healthy 1-year-old boy with the unremarkable medical history presented to a private clinic for a routine examination. Flushing & gustatory sweating was noted on the child's left cheek.…
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Medical Cases
January 23, 2023

Quinsy case

History: A 12-year-old boy presents with a sore throat, difficulty swallowing, inability to fully open his mouth, trismus, drooling, and a "hot-potato" voice. What is the diagnosis? Answer: Peritonsillar abscess,…
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Medical Cases
January 5, 2023

Acute chest syndrome case

History: A 16-year-old male patient who is known to have HBSS disease, presented with a history of chest and back pain for a few days prior to admission. He also…
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Medical Cases
December 28, 2022

Aortic regurgitation case

History: A 65 year old male with HTN presented to the ED with a 1-week history of progressive SOB. On physical examination, BP 140/62 mm Hg, HR 120 bpm, RR…
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Medical Cases
November 28, 2022

Alport syndrome case

History: A 33-year-old man presented to the ED with low-grade fever for 3 weeks, vomiting for 1 week and anuria for 3 days. He also reported dysuria and breathlessness for 1 week. There was…
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Medical Cases
November 17, 2022

Tetralogy of Fallot case

History: An infant presented in ER with respiratory distress & cyanosis. Examination shows clubbing, single S2, and ejection systolic murmur best heard in the pulmonary area. What is the most…
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Medical Cases
November 16, 2022

Foreign body aspiration case

History: A 60 year old woman nursing home patient with Type2DM, HTN, and a prior haemorrhagic stroke presented to ED with progressive dyspnoea, cough with white sputum and low-grade temperature.…
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Medical Cases
November 13, 2022

Cardiac tamponade case

History: A 40 year old male with c\o fever, cough productive of mucoid sputum without haemoptysis and chest pain for four months. He also reported weight loss for two months…
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Medical Cases
November 3, 2022

Acromegaly case

History: A 30-year-old man presented with an 11-year history of coarse facial features and progressive enlargement of hands and feet. On physical examination, his height was 1.70 m and his weight…
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Medical Cases
October 26, 2022

Atrial fibrillation case

History: A 60 yr male k/c/o of HTN, Type2DM, and hyperlipidemia presents to the ER with the first episode of rapid palpitations, sob, and chest discomfort. Physical exam shows an…
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Medical Cases
October 21, 2022

Molluscum contagiosum case

Question: Which of the following tests can be used to make the definitive diagnosis of this disease?  Biopsy showing Donovan bodies  Giemsa stain showing intracytoplasmic inclusion bodies Potassium hydroxide preparation…
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Medical Cases
October 14, 2022

Pneumothorax case

History: A 19-year-old male presents with a rapid onset of shortness of breath. There is no history of trauma or chronic medical disease. The patient has no risk factors for…
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Medical Cases
October 5, 2022

Ludwig angina case

History: A 65 yr old diabetic woman complains of 1 week of lower anterior molar pain and now with 24 hours of sore throat, difficulty swallowing, and sweats. On physical…
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Medical Cases
September 30, 2022

Carotid artery dissection case

History: A 40 year-old man presents with right neck pain that started while he was wrestling with his friend 2 days ago. Today he also has a right-sided frontotemporal headache and…
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Medical Cases
September 23, 2022

Intussusception case

History: A crying child came with his parents to ED with c/o vomiting (nonbilious, nonprojectile), abdominal pain, he was pulling his legs to the chest, and passage of blood per…
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Medical Cases
September 18, 2022

Henoch Schonlein purpura case

History: A 9 yr child with pruritic and painful rashes on the lower extremities and hands. Arthritis and abdominal pain were also noted. What's the diagnosis? 1. IgA Vasculitis 2.…
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Medical Cases
September 11, 2022

Kaposi sarcoma case

History: A 33 yr female presented with fatigue & flat painless purple lesions on the nose. She had a history of HIV infection and a low CD4 cell count. What's…
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Medical Cases
August 25, 2022

Conjunctival papilloma case

History: A healthy 10-year-old boy had a 12 months history of an itchy right eye with frequent tearing. Small masses that gradually developed in the right caruncula lacrimal area and…
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Medical Cases
August 22, 2022

Blue Fugates case

The Fugates, a family who lived in the hills of Kentucky, commonly known as the "Blue Fugates" or the "Blue People of Kentucky", are notable for having been carriers of…
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Medical Cases
July 16, 2022

Leukemia cutis case

History: A 50-year-old woman presented with asymptomatic multiple cutaneous nodules all over the body of 4 months duration. Cutaneous examination showed multiple hyperpigmented nodules and plaques involving face, trunk, and…
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Medical Cases
June 26, 2022

Eruptive xanthomas case

History: A 30 yr old obese man presents with an asymptomatic rash on his back, arms, and hands that had developed 2 week earlier. On physical examination, scattered pink-yellow papules…
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Medical Cases
May 31, 2022

Madura foot case

History: A 50-year-old woman with painless swelling in her left foot. The swelling started after a banal penetrating injury on the sole of her left foot 23 years ago. X-rays…
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Medical Cases
March 21, 2022

Langerhans-cell histiocytosis case

History: A female infant delivered at term had a “blueberry muffin” rash at birth. Laboratory tests and imaging studies were normal. Skin biopsy showed a dense infiltrate of cells with…
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Medical Cases
March 4, 2022

Ehlers Danlos Syndrome case

A 20-year-old male presented to an outpatient headache clinic with a 10-year history of headache, which had become daily over the past 3 months and awakened her in the middle…
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Medical Cases
January 13, 2022

Pellagra case

History: A 14 yr female presented to ED with 6 weeks h/o well-defined darkening and thickening of the hands, feet, ankles, neck, and the upper trunk region including upper chest…
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Medical Cases
January 4, 2022

Putty kidney case

History: A 46-year-old woman presented with symptoms of urgency, frequency and urge-incontinence for 2 years with h/o of fever. Her urine was acidic with few pus cells, but sterile on culture.…
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Medical Cases
December 18, 2021

Tinea Barbae case

History: A 45-year-old farmer came to dermatology OPD with C/O nonitchy red lumpy areas, pustules, and crusting around the hairs that can be pulled out easily. What's the diagnosis? Tinea…
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