Core Cases

August 2015

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CC: Right wrist pain

HPI: 19 yo RHD M with no PMH presents with R wrist pain. Patient was snowboarding today, jumped into air, fell backwards onto hyperextended R wrist. Seen in mountain clinic, was told most likely ligamentous injury and sent home. Took Tylenol, …

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July 2015

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CC: 96 yo woman with h/o Afib, HTN and CKD presents with altered mental status

HPI: The pt’s family notes that she has been lethargic for the last 24 hours with decreased appetite. They also note she has developed a diffuse non-pruritic, erythematous rash and a low-grade fever. The patient is high functioning at baseline and performs most ADLs independently. …

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June 2015

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CC: Positive home pregnancy test

HPI: 31F G2P1 presents with positive home urine pregnancy test. She states that she is 5 days late on her period. Reports vaginal spotting and abdominal cramps two days ago which have now resolved.  Has had no prenatal care. Now completely asymptomatic.

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March 2015

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CC: 39M presents with right wrist pain

HPI: 39M with no PMH presents with right wrist pain. The day prior to presentation the patient was shoveling snow when he slipped and fell onto his outstretched right hand/wrist. The patient presented to an OSH in upstate NY where he …

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