Clinical Images from NEJM
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Case-Based Curriculum of Clinical Medicine: MedClinicalCases.org
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Hypercalcemia due to Primary Hyperparathyroidism
Amiodarone-Induced Pulmonary Toxicity
A 33-year-old man has a low HDL level. Should you treat him?
Abdominal Pain and Constipation in a DM Patient - Dysmotility Syndrome
Abdominal Pain and Diarrhea for 2 Months: Is it IBD?
Accessory Renal Artery Stenosis – A Cause For Drug Refractory Hypertension
Acrocyanosis in Pickwickian Syndrome
Acute renal failure due to hyperhidrosis secondary to Shapiro's syndrome
Adult Polycystic Kidney Disease (APKD) with Cysts in Kidneys and Liver
Adult Polycystic Kidneys Disease (APKD)
Atrial fibrillation (AFib) with rapid ventricular response (RVR) due to central line placement
Allergy & Immunology Cases
Amiodarone-Induced Pulmonary Toxicity
Amphotericin B Nephrotoxicity
Anemia due to Iron Deficiency and Chronic Disease
Anemia with Hemoglobin 4.2 mg/dL. What is the Cause?
Antibiotics for Periodontal Disease (Gingivitis)
Anticoagulation and Yoga Exercises: Can I Stand on My Head While on Coumadin?
Aortic Stenosis and Preoperative Evaluation for Noncardiac Surgery
ARDS after Full Arrest due to Cocaine
Artificial Disc for Degenerative Disc Disease
Atelectasis due to Hypoventilation and Mucus Plug
Bariatric Surgery Patient After the Roux-En-Y Operation
Bilateral Hemianopsia Due to Pituitary Adenoma
Bilirubin 17: What Is the Cause?
Bloody Ascites and Gas Under the Diaphragm
Bochdalek's Hernia
Botulinum Toxin Injections for Treatment of Diabetic Gastroparesis
Brain Metastases after Bilateral Breast Cancer
Bronchoalveolar Cell Carcinoma
Bullous Emphysema
Carbon Monoxide Poisoning due to a Suicide Attempt
Cardiac Tamponade - Big Heart with Clear Lungs
Cardiology Cases
Case 1: Does this patient need a stress test?
Case 2: Does this patient need a beta-blocker?
Case 3: When to correct hyperkalemia before surgery?
Case 4: When to do hemodialysis before surgery in patients with ESRD?
Case 5: Does this patient need an antibiotic before surgery?
Case 6: Does this patient need a blood transfusion?
Case 7: Which blood pressure medications to take on the morning of surgery?
Case 8: What is the risk for developing ARF after surgery?
Case Reports and HIPAA Rules
Central Line Placement: A Step-by-Step Procedure Guide with Photos
Central Line Placement with Ultrasound Guidance: A Step-by-Step Procedure Guide with Photos
Cervical Spine Manipulation: "Neck Relief and Brain Grief"
Clinical Cases by Organ System
Clinical Cases in Test Format
Cocaine-Induced Chest Pain with High CK: Is it due to MI or Rhabdomyolysis?
Complications of Central Line Placement: Pneumothorax, Arrhythmia, Hematoma
Confusion and Decubitus after a Hospitalization
Constipation, Iron Deficiency Anemia and Positive Fecal Occult Blood. Is it Colon Cancer? Not So Fast.
COPD vs. CHF Exacerbation
Warfarin (Coumadin)-Induced Skin Necrosis
Clinical Cases by Organ System
Delirium Due to Medications
Demented Patient with Melena for 2 Days - Where is the Source? AVM
Demented Patient with Psychosis
Dementia -- A Typical Case
Diabetic Foot Infection of Stasis Ulcers
Diabetic Ketoacidosis (DKA): Typical Laboratory Findings and Response to Treatment
Diabetic Myonecrosis: An Unusual Suspect
Different Conditions in Patients' Own Voices from the NY Times
Digoxin Toxicity in an Elderly Female
Web Site Disclaimer
Disclaimer and Terms of Use Agreement
Diverticulosis - a Typical Case Plus Colonoscopy Procedure Info
Double Hit - Right and Left-Sided Endocarditis in a Heroin Abuser
DVT or Baker's Cyst? Legs Swelling and D-dimer of 7,000
Early Asbestosis in a Retired Pipe Fitter
EKGs with Dr. Koch: It's Not Only Educational It's Also Fun!
Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days. What is the cause?
Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days due to digoxin toxicity
Elderly Male with Refractory Orthostatic Hypotension
Elderly Man with Hyperkalemia Who Takes Digoxin
Electrical Alternans - What Is It? QRS of Varying Size
Elevated Bilirubin with No Reason - Gilbert's Syndrome?
Empiric Treatment of Common Infections
Endocrinology Cases
Falls in Dementia
Fanconi-like Syndrome: A Complication of Ifosfamide in Adults
Fatigue for One Month due to Severe Anemia. What is the Cause?
Febrile Neutropenia in a Patient on Chemotherapy
A Female with Acute Renal Failure Who Drinks Two Gin and Tonics Daily
Finger Clubbing due to Lung Cancer
Foot Drop in a Diabetic Patient
Foreign Body Ingestion: "I Swallowed a Pen"
Gastroenterology Cases
Geriatrics Cases
"Green" Patient Who Takes Depakote - Toxic Hepatitis
Hampton Hump in Pulmonary Embolism
Hematology and Oncology Cases
Hematuria and Weight Loss due to Bladder Cancer
Hemoglobin 4.2 mg/dL due to Autoimmune Hemolytic Anemia
Hemoptysis in a Patient with Lingular Pneumonia
Hepatic Hydrothorax – An Uncommon Complication Of Cirrhosis
Hepatitis C and Alcohol Abuse - What is the Treatment Plan?
Hypercalcemia due to Multiple Myeloma
Hypercalcemia due to Primary Hyperparathyroidism
Hypercalcemia due to Primary Hyperparathyroidism
Hypercalcemia of Malignancy
Hypernatremia due to Dehydration in Dementia
Hyponatremia - Na 118 - What Is the Cause?
Hypothermia And SIADH: Manifestations Of Terminal Multiple Sclerosis
Constipation as a Chief Complaint of Uncontrolled Hypothyroidism
Electrocardiograms, X-rays, CT scans
Infectious Diseases Cases
INR 17 and Hematuria: What To Do?
Interview with the Founder of Clinical Cases and Images
Iron overload due to blood transfusions in sickle cell disease
Joint Aspirations and Injections - Procedure Guides
Lactic Acidosis due to Metformin Overdose
Large Abdominal Aortic Aneurysm (AAA) and Diverticulosis
Liver Abscess as the Source of FUO
Lower GI Bleeding on Coumadin
Lung Cancer Presenting with RML Mass
Lung Cancer - SOB for 2 months and Hemoptysis
A Male with Acute Renal Failure and Widespread Lymphadenopathy
A Man with Urinary Tract Infection
Massive Left-Sided Pleural Effusion
Massive Lower Extremity DVT Treated with Thrombolysis
Medical Schools Which Link to Our Project Clinical Cases and Images
Acute MI Which Presented with RLQ Abdominal Pain
Morphine Overdose in a Renal Failure Patient
Multiple Sclerosis Flare due to UTI
NASH in Obese Lady with Elevated LFT
Clinical Images from NEJM
Nephrology Cases
Neurology Cases
Neuropathic Back Pain
Noncompaction of the Left Ventricle – A Rare Cause Of Non-ischemic Cardiomyopathy
Clinical Cases Make Blog a Popular Resource
Popular Case-Based Resource Models Online Medical Training
NSAIDs-Induced Acute Renal Failure
Nursing Home Care - Basic Rules
Obese Patient with CRI and DVT. How to Monitor the Anticoagulation with Lovenox?
Obstructive Jaundice and Drug-induced Hepatitis
Oral Mucositis due to Radiotherapy
OSA, Sleep Study and CPAP settings
Osteomyelitis 10 Years after Knee Replacement
Pain Management Cases
Pain Management Summary
A Patient with Pancreatic Cancer Presents with 30-lb Weight Loss over 3 Months
Paracentesis: A Step-by-Step Procedure Guide
Patient with Multiple Symptoms for Six Years Finally Diagnosed with AIDS
Pelvic Fracture after a Fall - Not Always as Simple as it Looks
Persistent Nausea and Vomiting Due to Digoxin Toxicity
Physical Examination Videos
Platelets Are Just 1,000 - What To Do?
Pneumoconiosis or Sarcoidosis? Or Both?
Pneumonia and Metabolic Acidosis in a 35-kilogram Man
Pneumonia and Septic Shock
Pneumonia Complicated with Empyema and Abscess
Pneumoperitoneum Due to Sexual Activity
Pneumothorax after Central Line Placement
Polycythemia due to COPD and Smoking
Preoperative Care of Patients with Kidney Disease
Prerenal Acute Renal Failure due to Volume Depletion
Prerenal Acute Renal Failure with High FENa (Fractional Excretion of Sodium)
Procedure Guides Step-by-Step
Procedure Guides
Prostate Cancer with Bone Metastases and PSA of 900
Pulmonary Coccidiomycosis
Pulmonary Embolism and Thoracic Aortic Dissection
Pulmonology and Critical Care Cases
Hematuria and Weight Loss due to Bladder Cancer
Questions & Answers
Recurrent Pneumonia due to IgG and IgM Deficiency
Respiratory Alkalosis in a Ventilated Patient, Lines and Tubes on CXR
Respiratory Depression due to BDZ Overdose in a COPD Patient
Respiratory Depression due to Opioid and Benzodiazepine Overdose
Respiratory Failure due to Inpatient Treatment with Narcotics for Chronic Pain
Rheumatology and Orthopedics Cases
Right lung collapse in a ventilated patient due to mucus plug
RUQ Pain due to Cholangitis
Salicylate Toxicity Presenting with Weakness and Slurred Speech
Sarcoidosis Patient with Hemoptysis due to Aspergillosis
Shortness of breath and diffuse ground glass pattern on CT of the chest. What is the cause?
Should patients receive anticoagulation for paroxysmal atrial flutter?
SIADH due to Lung Cancer and Aspiration Pneumonia
Sick euthyroid syndrome in a patient with multilobar pneumonia
Small Bowel Obstruction and Gas in the Portal System
Spinal Cord Compression Presenting with Neck Pain for One Month
Staphylococcus Aureus Prostatic Abscess Complicated By Infective Endocarditis
Stroke or Bell's Palsy? Facial Droop, Slurred Speech and Afib
Sudden painless loss of vision in an elderly female due to central retinal artery occlusion (CRAO)
Surgical Procedure in a Patient with Thrombocytopenia. When to Transfuse Platelets?
Suspected DVT - To Treat or Not to Treat?
Supraventricular tachycardia (SVT) with a heart rate of 189 bpm after albuterol. What is the cause?
Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) due to SSRIs
A Systematic Approach to Electrocardiogram (ECG, EKG) Interpretation by Using 2 Mnemonics
Giant Cell Arteritis Presenting with Headache and Jaw Pain
Tension Pneumothorax
Thinking About Medicine: Your Inner Peace
Thoracentesis: A Step-by-Step Procedure Guide with Photos
Thoracic Aorta Aneurysm and CAD
Thrombocytopenia due to Kasabach-Merritt Syndrome
Thrombocytopenia - What is the Cause?
Thrombosis in Heparin-Induced Thrombocytopenia
Treating Pain in a Patient Abusing Drugs
Two Patients with Pain - Who Qualifies for Chronic Opioid Treatment?
Uncontrolled HTN with low K+
Upper GI Bleeding due to Gastric Ulcer
Weaning and Extubation Criteria in a Patient with Septic Shock and Respiratory Failure
Young Man with Chronic Pancreatitis in 15 of His Relatives - Hereditary Pancreatitis?
A Young Man with Henoch-Schonlein Purpura
Young Patient with UC of the Rectosigmoid Area - a Typical Case
Hypercalcemia due to Primary Hyperparathyroidism
Amiodarone-Induced Pulmonary Toxicity
A 33-year-old man has a low HDL level. Should you treat him?
Abdominal Pain and Constipation in a DM Patient - Dysmotility Syndrome
Abdominal Pain and Diarrhea for 2 Months: Is it IBD?
Accessory Renal Artery Stenosis – A Cause For Drug Refractory Hypertension
Acrocyanosis in Pickwickian Syndrome
Acute renal failure due to hyperhidrosis secondary to Shapiro's syndrome
Adult Polycystic Kidney Disease (APKD) with Cysts in Kidneys and Liver
Adult Polycystic Kidneys Disease (APKD)
Atrial fibrillation (AFib) with rapid ventricular response (RVR) due to central line placement
Allergy & Immunology Cases
Amiodarone-Induced Pulmonary Toxicity
Amphotericin B Nephrotoxicity
Anemia due to Iron Deficiency and Chronic Disease
Anemia with Hemoglobin 4.2 mg/dL. What is the Cause?
Antibiotics for Periodontal Disease (Gingivitis)
Anticoagulation and Yoga Exercises: Can I Stand on My Head While on Coumadin?
Aortic Stenosis and Preoperative Evaluation for Noncardiac Surgery
ARDS after Full Arrest due to Cocaine
Artificial Disc for Degenerative Disc Disease
Atelectasis due to Hypoventilation and Mucus Plug
Bariatric Surgery Patient After the Roux-En-Y Operation
Bilateral Hemianopsia Due to Pituitary Adenoma
Bilirubin 17: What Is the Cause?
Bloody Ascites and Gas Under the Diaphragm
Bochdalek's Hernia
Botulinum Toxin Injections for Treatment of Diabetic Gastroparesis
Brain Metastases after Bilateral Breast Cancer
Bronchoalveolar Cell Carcinoma
Bullous Emphysema
Carbon Monoxide Poisoning due to a Suicide Attempt
Cardiac Tamponade - Big Heart with Clear Lungs
Cardiology Cases
Case 1: Does this patient need a stress test?
Case 2: Does this patient need a beta-blocker?
Case 3: When to correct hyperkalemia before surgery?
Case 4: When to do hemodialysis before surgery in patients with ESRD?
Case 5: Does this patient need an antibiotic before surgery?
Case 6: Does this patient need a blood transfusion?
Case 7: Which blood pressure medications to take on the morning of surgery?
Case 8: What is the risk for developing ARF after surgery?
Case Reports and HIPAA Rules
Central Line Placement: A Step-by-Step Procedure Guide with Photos
Central Line Placement with Ultrasound Guidance: A Step-by-Step Procedure Guide with Photos
Cervical Spine Manipulation: "Neck Relief and Brain Grief"
Clinical Cases by Organ System
Clinical Cases in Test Format
Cocaine-Induced Chest Pain with High CK: Is it due to MI or Rhabdomyolysis?
Complications of Central Line Placement: Pneumothorax, Arrhythmia, Hematoma
Confusion and Decubitus after a Hospitalization
Constipation, Iron Deficiency Anemia and Positive Fecal Occult Blood. Is it Colon Cancer? Not So Fast.
COPD vs. CHF Exacerbation
Warfarin (Coumadin)-Induced Skin Necrosis
Clinical Cases by Organ System
Delirium Due to Medications
Demented Patient with Melena for 2 Days - Where is the Source? AVM
Demented Patient with Psychosis
Dementia -- A Typical Case
Diabetic Foot Infection of Stasis Ulcers
Diabetic Ketoacidosis (DKA): Typical Laboratory Findings and Response to Treatment
Diabetic Myonecrosis: An Unusual Suspect
Different Conditions in Patients' Own Voices from the NY Times
Digoxin Toxicity in an Elderly Female
Web Site Disclaimer
Disclaimer and Terms of Use Agreement
Diverticulosis - a Typical Case Plus Colonoscopy Procedure Info
Double Hit - Right and Left-Sided Endocarditis in a Heroin Abuser
DVT or Baker's Cyst? Legs Swelling and D-dimer of 7,000
Early Asbestosis in a Retired Pipe Fitter
EKGs with Dr. Koch: It's Not Only Educational It's Also Fun!
Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days. What is the cause?
Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days due to digoxin toxicity
Elderly Male with Refractory Orthostatic Hypotension
Elderly Man with Hyperkalemia Who Takes Digoxin
Electrical Alternans - What Is It? QRS of Varying Size
Elevated Bilirubin with No Reason - Gilbert's Syndrome?
Empiric Treatment of Common Infections
Endocrinology Cases
Falls in Dementia
Fanconi-like Syndrome: A Complication of Ifosfamide in Adults
Fatigue for One Month due to Severe Anemia. What is the Cause?
Febrile Neutropenia in a Patient on Chemotherapy
A Female with Acute Renal Failure Who Drinks Two Gin and Tonics Daily
Finger Clubbing due to Lung Cancer
Foot Drop in a Diabetic Patient
Foreign Body Ingestion: "I Swallowed a Pen"
Gastroenterology Cases
Geriatrics Cases
"Green" Patient Who Takes Depakote - Toxic Hepatitis
Hampton Hump in Pulmonary Embolism
Hematology and Oncology Cases
Hematuria and Weight Loss due to Bladder Cancer
Hemoglobin 4.2 mg/dL due to Autoimmune Hemolytic Anemia
Hemoptysis in a Patient with Lingular Pneumonia
Hepatic Hydrothorax – An Uncommon Complication Of Cirrhosis
Hepatitis C and Alcohol Abuse - What is the Treatment Plan?
Hypercalcemia due to Multiple Myeloma
Hypercalcemia due to Primary Hyperparathyroidism
Hypercalcemia due to Primary Hyperparathyroidism
Hypercalcemia of Malignancy
Hypernatremia due to Dehydration in Dementia
Hyponatremia - Na 118 - What Is the Cause?
Hypothermia And SIADH: Manifestations Of Terminal Multiple Sclerosis
Constipation as a Chief Complaint of Uncontrolled Hypothyroidism
Electrocardiograms, X-rays, CT scans
Infectious Diseases Cases
INR 17 and Hematuria: What To Do?
Interview with the Founder of Clinical Cases and Images
Iron overload due to blood transfusions in sickle cell disease
Joint Aspirations and Injections - Procedure Guides
Lactic Acidosis due to Metformin Overdose
Large Abdominal Aortic Aneurysm (AAA) and Diverticulosis
Liver Abscess as the Source of FUO
Lower GI Bleeding on Coumadin
Lung Cancer Presenting with RML Mass
Lung Cancer - SOB for 2 months and Hemoptysis
A Male with Acute Renal Failure and Widespread Lymphadenopathy
A Man with Urinary Tract Infection
Massive Left-Sided Pleural Effusion
Massive Lower Extremity DVT Treated with Thrombolysis
Medical Schools Which Link to Our Project Clinical Cases and Images
Acute MI Which Presented with RLQ Abdominal Pain
Morphine Overdose in a Renal Failure Patient
Multiple Sclerosis Flare due to UTI
NASH in Obese Lady with Elevated LFT
Clinical Images from NEJM
Nephrology Cases
Neurology Cases
Neuropathic Back Pain
Noncompaction of the Left Ventricle – A Rare Cause Of Non-ischemic Cardiomyopathy
Clinical Cases Make Blog a Popular Resource
Popular Case-Based Resource Models Online Medical Training
NSAIDs-Induced Acute Renal Failure
Nursing Home Care - Basic Rules
Obese Patient with CRI and DVT. How to Monitor the Anticoagulation with Lovenox?
Obstructive Jaundice and Drug-induced Hepatitis
Oral Mucositis due to Radiotherapy
OSA, Sleep Study and CPAP settings
Osteomyelitis 10 Years after Knee Replacement
Pain Management Cases
Pain Management Summary
A Patient with Pancreatic Cancer Presents with 30-lb Weight Loss over 3 Months
Paracentesis: A Step-by-Step Procedure Guide
Patient with Multiple Symptoms for Six Years Finally Diagnosed with AIDS
Pelvic Fracture after a Fall - Not Always as Simple as it Looks
Persistent Nausea and Vomiting Due to Digoxin Toxicity
Physical Examination Videos
Platelets Are Just 1,000 - What To Do?
Pneumoconiosis or Sarcoidosis? Or Both?
Pneumonia and Metabolic Acidosis in a 35-kilogram Man
Pneumonia and Septic Shock
Pneumonia Complicated with Empyema and Abscess
Pneumoperitoneum Due to Sexual Activity
Pneumothorax after Central Line Placement
Polycythemia due to COPD and Smoking
Preoperative Care of Patients with Kidney Disease
Prerenal Acute Renal Failure due to Volume Depletion
Prerenal Acute Renal Failure with High FENa (Fractional Excretion of Sodium)
Procedure Guides Step-by-Step
Procedure Guides
Prostate Cancer with Bone Metastases and PSA of 900
Pulmonary Coccidiomycosis
Pulmonary Embolism and Thoracic Aortic Dissection
Pulmonology and Critical Care Cases
Hematuria and Weight Loss due to Bladder Cancer
Questions & Answers
Recurrent Pneumonia due to IgG and IgM Deficiency
Respiratory Alkalosis in a Ventilated Patient, Lines and Tubes on CXR
Respiratory Depression due to BDZ Overdose in a COPD Patient
Respiratory Depression due to Opioid and Benzodiazepine Overdose
Respiratory Failure due to Inpatient Treatment with Narcotics for Chronic Pain
Rheumatology and Orthopedics Cases
Right lung collapse in a ventilated patient due to mucus plug
RUQ Pain due to Cholangitis
Salicylate Toxicity Presenting with Weakness and Slurred Speech
Sarcoidosis Patient with Hemoptysis due to Aspergillosis
Shortness of breath and diffuse ground glass pattern on CT of the chest. What is the cause?
Should patients receive anticoagulation for paroxysmal atrial flutter?
SIADH due to Lung Cancer and Aspiration Pneumonia
Sick euthyroid syndrome in a patient with multilobar pneumonia
Small Bowel Obstruction and Gas in the Portal System
Spinal Cord Compression Presenting with Neck Pain for One Month
Staphylococcus Aureus Prostatic Abscess Complicated By Infective Endocarditis
Stroke or Bell's Palsy? Facial Droop, Slurred Speech and Afib
Sudden painless loss of vision in an elderly female due to central retinal artery occlusion (CRAO)
Surgical Procedure in a Patient with Thrombocytopenia. When to Transfuse Platelets?
Suspected DVT - To Treat or Not to Treat?
Supraventricular tachycardia (SVT) with a heart rate of 189 bpm after albuterol. What is the cause?
Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) due to SSRIs
A Systematic Approach to Electrocardiogram (ECG, EKG) Interpretation by Using 2 Mnemonics
Giant Cell Arteritis Presenting with Headache and Jaw Pain
Tension Pneumothorax
Thinking About Medicine: Your Inner Peace
Thoracentesis: A Step-by-Step Procedure Guide with Photos
Thoracic Aorta Aneurysm and CAD
Thrombocytopenia due to Kasabach-Merritt Syndrome
Thrombocytopenia - What is the Cause?
Thrombosis in Heparin-Induced Thrombocytopenia
Treating Pain in a Patient Abusing Drugs
Two Patients with Pain - Who Qualifies for Chronic Opioid Treatment?
Uncontrolled HTN with low K+
Upper GI Bleeding due to Gastric Ulcer
Weaning and Extubation Criteria in a Patient with Septic Shock and Respiratory Failure
Young Man with Chronic Pancreatitis in 15 of His Relatives - Hereditary Pancreatitis?
A Young Man with Henoch-Schonlein Purpura
Young Patient with UC of the Rectosigmoid Area - a Typical Case
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