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From the Journal

What's Your Diagnosis?
CT head non-contrast axial and coronal views during first visit to emergency department are shown
What's Your Diagnosis?
A Rapidly Enlarging Headache
09/20/2025
Justin Lien, BS; Ananya Narasimhan, BS; Nicholas Basalous; Evan M. Masutani, MD, PhD; Mariam Fahim, DO
A 6-year-old boy with a past medical history of recurrent otitis media presented to an outpatient pediatrician for subacute new-onset headache and photophobia.
09/20/2025
Photoclinic
woman coughing
Photoclinic
Severe Bradycardia in COVID-19: Moving Beyond Typical Respiratory Symptoms
05/08/2025
Steven R. Bruhl, MD, MS; Andrew J. Slembarski, MD
A 61-year-old woman presented to the emergency department with a 1-week history of cough, worsening shortness of breath, and dizziness.
05/08/2025
Case In Point
Tick
Case In Point
As Difficult as it Gets: Challenges in Managing Early Lyme Disease With Anaplasmosis Co-Infection
04/11/2025
Dongsheng Jiang, MD, MS; Joanna Jiang, MD; Juan Qiu, MD, PhD
Lyme disease is the predominant vector-borne ailment in the United States, afflicting approximately 476,000 individuals annually. Notably, 95% of LD cases reported to the CDC emanate from 14 states spanning...
04/11/2025
What's your diagnosis?
Photo shows the patient demonstrating right wrist weakness when asked to extend both hands.
What's your diagnosis?
Weakness in the Upper Extremity After a Fall
03/27/2025
Michael Grover, DO; Sethu Sandeep Koneru, MBBS
A 58-year-old woman with debility from end-stage liver disease visited the clinic reporting weakness of her right upper extremity for the past day.
03/27/2025
Photoclinic
image 1
Photoclinic
Management of a Recurrent A1 Blood Blister-Like Aneurysm Complicated by Rupture
03/17/2025
Kevin Pierre, MD; Hyuchang (Sean) Kwak, BS; Kevin Root, BS; Haoyu Wang; Arnav Barpujari; Vivian Hagerty, MD; Brandon Lucke-Wold, MD, MPH; Matthew Koch, MD
A middle-aged woman presented to the emergency department with a new-onset severe headache and progressive obtundation.
03/17/2025
Review
Doctor
Review
Revisiting the “Red Flags” in Acute Low Back Pain
02/28/2025
David Della-Giustina, MD; Katey Osborne, MD
When evaluating patients presenting with low back pain, conducting a targeted history and physical examination is vital to identify indications of a potentially significant underlying condition, what we...
02/28/2025
What's The Take Home?
Man holding head
What's The Take Home?
A 75-Year-Old Man With Memory Loss
02/20/2025
Ronald N. Rubin, MD
The wife of a 75-year-old previously healthy man calls her internist to report her husband’s acute episode of “confusion.”
02/20/2025
What's the take home?
wtth
What's the take home?
A 43-Year-Old Man With New Headaches
12/30/2024
Ronald N. Rubin, MD
A 43-year-old man presents after experiencing 2 days of an unusual headache. On each of the previous 2 days, he first noted blurry vision accompanied by flashes of light in the left eye, which expanded for...
12/30/2024
Photoclinic
Peripancreatic free fluid seen on ultrasound of the abdomen
Photoclinic
Recurrent Abdominal Pain in a Boy With Delayed Appearance of Palpable Purpura
12/04/2024
Felicia Cooper, MD; Nisha Mathews, DO; Gift Kopsombut, MD
A previously healthy 9-year-old boy developed acute upper left quadrant and epigastric abdominal pain, nonbloody nonbilious vomiting, and decreased oral intake.
12/04/2024
Photoclinic
Glioblastoma
Photoclinic
Right Temporal Lobe Glioblastoma Presenting as Distortions of Speech Processing
11/18/2024
David Effron, MD; C. Clare Charbonnet, MD; Charles L. Emerman, MD; Agnieszka A. Ardelt, MD, PhD, MBA
A 66-year-old, right-handed man presented to the emergency department (ED) reporting the perception of hearing speech “in fast forward.” The perception was intermittent; episodes lasted for a few minutes...
11/18/2024