Medical Cases

29/09/2026

🩺 Clinical Case Challenge!

A 42-year-old female presents to the ED with severe, episodic right upper quadrant abdominal pain that radiates to her right scapula, triggered after eating a cheeseburger. She also reports nausea and vomiting.

On physical exam, there is severe tenderness on deep inspiration during palpation of the right upper quadrant (Positive Murphy's Sign).

What is the initial diagnostic imaging modality of choice?
1️⃣ Abdominal Ultrasound
2️⃣ CT Scan of the Abdomen
3️⃣ HIDA Scan
4️⃣ Magnetic Resonance Cholangiopancreatography (MRCP)

Drop your diagnosis and management choice in the comments! 👇

24/09/2026

🩺 Emergency Pulmonology Challenge!

A 58-year-old female presents with sudden-onset shortness of breath and pleuritic chest pain on postoperative day 3 following total hip arthroplasty. Tachycardia (115 bpm) is noted on vitals.

ECG reveals sinus tachycardia, and arterial blood gas shows acute hypoxemia.

What is your primary diagnostic test of choice?
1️⃣ CT Pulmonary Angiography (CTPA)
2️⃣ D-Dimer test
3️⃣ Chest X-ray
4️⃣ Ventilation-Perfusion (V/Q) Scan

Drop your diagnosis and management protocol in the comments below! 👇

24/09/2026

🩺 Clinical Case Challenge!

A 19-year-old college basketball player collapses during a game. Resuscitation is successful with an AED. Family history reveals a cousin who died suddenly at age 22.

Echocardiogram shows asymmetrical septal hypertrophy.

What is your primary diagnosis?
1️⃣ Hypertrophic Cardiomyopathy (HCM)
2️⃣ Dilated Cardiomyopathy
3️⃣ Myocarditis
4️⃣ Arrhythmogenic Right Ventricular Cardiomyopathy

Drop your diagnosis and the classic murmur finding below! 👇

23/09/2026

🩺 Emergency Neurology Challenge!

A 45-year-old patient presents with sudden right-sided facial weakness, including inability to wrinkle the forehead or close the right eye, accompanied by loss of taste on the anterior two-thirds of the tongue.

There are no focal motor deficits in the upper or lower extremities.

What is your primary diagnosis?
1️⃣ Left Middle Cerebral Artery Stroke
2️⃣ Bell's Palsy (CN VII)
3️⃣ Trigeminal Neuralgia (CN V)
4️⃣ Ramsay Hunt Syndrome

Comment your diagnosis below and state the key exam finding that differentiates upper vs. lower motor neuron lesions! 👇

23/09/2026

🩺 Pediatric Emergency Challenge!

A 2-year-old child is brought to the ED at midnight with a 2-day history of low-grade fever, rhinorrhea, and a sudden onset of a characteristic 'barking' cough and inspiratory stridor.

On examination, the child has mild intercostal retractions. Soft tissue neck X-ray reveals the classic 'steeple sign'.

What is your primary diagnosis?
1️⃣ Acute Epiglottitis
2️⃣ Croup (Laryngotracheobronchitis)
3️⃣ Foreign Body Aspiration
4️⃣ Bacterial Tracheitis

Drop your diagnosis and immediate management steps in the comments! 👇

23/09/2026

22/09/2026

22/09/2026

🩺 High-Yield Case Challenge!

A 19-year-old college student presents with periumbilical pain that migrated to the right lower quadrant over 12 hours, accompanied by low-grade fever and nausea. Physical exam reveals positive McBurney's sign and Rovsing's sign.

What is the most likely diagnosis?
1️⃣ Acute Appendicitis
2️⃣ Meckel's Diverticulitis
3️⃣ Right Ureteral Calculi
4️⃣ Mesenteric Adenitis

Comment your diagnosis below and share your reasoning! 👇

17/09/2026

🩺 Clinical Case Challenge!

A 65-year-old patient presents to the ED with sudden-onset palpitations and lightheadedness. BP is 90/60 mmHg.

You review the EKG strip showing a rapid, irregular, wide-complex rhythm.

What is your immediate next step in management?
1️⃣ Immediate synchronized cardioversion
2️⃣ Intravenous Adenosine
3️⃣ Oral Beta-blocker
4️⃣ Carotid sinus massage

Drop your diagnosis and management step below! 👇