eMedicine CME Case Study [Новость добавлена - 15.05.2009]

We hope you enjoy this special edition of most-read CME case studies on MedscapeCME. Read on to diagnose these cases. Click here to subscribe to our free eMedicine CME Case Study newsletter.

1. Progressive Neurologic Deterioration in a 23-Year-Old Man A 23-year-old man exhibits generalized tonic-clonic seizures, a dense left hemiparesis, and altered mental status following hospitalization for fatigue, tongue erosions, and a 10-month history of diminished appetite. What is the diagnosis? 2. Hyperemesis and Epigastric Pain in a 27-Year-Old Man A 27-year-old man presents to the ED with a 2-day history of hyperemesis with hematemesis. The patient drank 21 cans of beer 3 days ago; his history reveals that he has vomited 30 times in the past 24 hours. What is the underlying etiology? 3. A 40-Day-Old Boy With Facial Swelling A 40-day-old infant presents with a 4-cm area of indurated, tender swelling and erythema involving the left subauricular and submandibular facial areas and extending along the line of the jaw to the chin. The infant is irritable and has a fever. What is the diagnosis? 4. Dyspnea With Intermittent Cyanosis in a Neonate A 17-day-old boy with rapid breathing, decreased air intake, and 2 episodes of cyanosis is brought to the ED. On fluoroscopy, the right hemidiaphragm appears motionless. What is the diagnosis? 5. It Must Be Cardiac! An elderly woman presents with vomiting and progressive alteration of her mental status following discontinuation of her metoclopramide therapy. The patient was in her usual state of health until she vomited several times earlier today. As the day progressed, the patient was noted to have difficulty communicating; she could neither understand commands nor verbalize simple phrases. An ECG is obtained. What is causing the abnormalities seen on her ECG? For more eMedicine CME Case Studies, click here. For information on submitting a case, click here.