I Shortness of Breath 1
CASE 1 Acute Shortness of Breath in a Young Woman 3
CASE 2 Very Short of Breath 9
CASE 3 Chronic Shortness of Breath 15
CASE 4 Hypertensive, Short of Breath, and Dizzy 20
CASE 5 Fever and Shortness of Breath 24
CASE 6 Young Woman with Dyspnea 29
CASE 7 White Lungs 35
CASE 8 Fever, Sweats, and Painful Cough 42
CASE 9 Fever, Productive Cough, Shortness of Breath 48
CASE 10 Shortness of Breath and Palpitations 54
CASE 11 Shortness of Breath and Fever 59
II Chest Pain 65
CASE 12 Chest Pain, Shortness of Breath 67
CASE 13 Chest, Hip, and Knee Pain 73
CASE 14 Severe Back Pain 77
CASE 15 Syncopal Episode 83
CASE 16 Left Shoulder Pain 88
CASE 17 Chest Pain in a Middle-aged Man 94
III Abdominal Pain 99
CASE 18 Burning Chest Pain 101
CASE 19 Tarry, Smelly Stools and Hematemesis 107
CASE 20 Fever, Right Upper Quadrant Pain 112
CASE 21 Diarrhea on the Plane 116
CASE 22 Fever, Diarrhea, and Abdominal Cramping in a Young Man 121
CASE 23 41-Year-Old Man with Abdominal Pain 126
CASE 24 Hurts to Eat 131
CASE 25 Gnawing Epigastric Pain, Nausea, and Vomiting 136
CASE 26 Comatose 141
CASE 27 Fever, Swollen Abdomen, Drowsy, and Yellow 147
CASE 28 Fever, Abdominal Pain, and Foot Drop 153
CASE 29 Abdominal Pain, Confusion, and Fever 158
CASE 30 Abdominal Pain and Fever 162
IV Hormonal and Electrolyte Imbalance 167
CASE 31 Young Woman, Breathing Hard, with Sunken Cheeks 169
CASE 32 Feeling Slow 175
CASE 33 Electrolytes and Malignancy 181
CASE 34 Lightheadedness 188
CASE 35 Poorly Controlled Blood Sugar 194
CASE 36 Fever, Agitation, and Shortness of Breath 200
CASE 37 Confusion and Lethargy 206
V Preventive Medicine 211
CASE 38 Health Maintenance 213
CASE 39 Calculating Cholesterol 218
CASE 40 Reaction of TB 224
VI Head Symptoms 231
CASE 41 Headache, Fever 233
CASE 42 Stuffy Nose, Headache, and Nasal Discharge 238
CASE 43 Head Pain, Nausea, and Vision Changes 243
CASE 44 Facial Droop in a 42-Year-Old Man 249
VII Blood Issues 255
CASE 45 Bleeding Gums and Prolonged Menses 257
CASE 46 Fatigue and Nosebleed 263
CASE 47 Abnormal Lab Values in a Man with an Abscess 268
CASE 48 Feverish, Bleeding, and Confused 273
CASE 49 High Fever, Rash, and Sore Throat 279
VIII Swelling, Musculoskeletal, and Skin Issues 287
CASE 50 Generalized Swelling after a Sore Throat 289
CASE 51 Painful, Swollen Knee 295
CASE 52 Sore Wrist 300
CASE 53 Swollen Legs and Puffy Eyelids in a 35-Year-Old Woman 306
CASE 54 Left Leg Swelling in a 68-Year-Old Man 311
CASE 55 Leg Pain 316
CASE 56 Swollen, Painful Joints 320
CASE 57 Tired of Uremia 326
CASE 58Rash 332
CASE 59 Fever and Rash after a Camping Trip 337
CASE 60 Left Shoulder Pain in a 38-Year-Old Man 342