An 81-year-old woman with chronic renal failure who was undergoing hemodialysis presented at an orthopedic clinic complaining of neck pain after hitting her head on the ceiling of a car while traveling on a rough road.

A 29-year-old woman with no significant past medical history presented with right upper quadrant pain she had been experiencing for two days.

A 68-year-old man presented with right flank pain.

A 76-year-old woman presented with a neck mass and occasional palpitations. Laboratory values were significant for markedly low thyroid stimulating hormone at 0.07 µIU/mL. (The normal range is 0.45-5.44 µIU/mL.)

A 38-year-old woman presented after a motor vehicle rollover with ejection from sunroof.  

CASE INSTRUCTIONS: Click the blue “Take this Case” button. This enrolls you to have access to the case. Alternatively, the button may say “Log in…

A 71-year-old woman presented to the emergency department due to altered mental status. 

A 70-year-old man with a history of chronic kidney disease (CKD) stage III A, congenitally absent left kidney, and resistant hypertension presented with elevated creatinine.

A 21-year-old woman presented with chronic left shoulder pain which began after a fall.

A 39-year-old woman presented with progressive right upper quadrant (RUQ) pain and nausea radiating to shoulder over the previous two days.

A 57-year-old man with a longstanding history of multiple comorbidities including type 2 diabetes, chronic kidney disease, hypertension, and back pain presented with recent acutely worsening leg edema and chronically worsened back stiffness and pain.

A 38-year-old woman with a remote history of ACL tear and reconstruction presented with chronic worsening left knee pain, localized to the anteromedial knee.

A 32-year-old woman presented with nausea, vomiting, early satiety, and bloating after meals. The patient has a longstanding history of uncontrolled diabetes and a recent A1C of 13%.

An 82-year-old man with a history of prostate cancer presented due to rising prostate-specific antigen.  

A 70-year-old man with a history of hypertension, type 2 diabetes, hyperlipidemia, obstructive sleep apnea, and hypothyroidism presented with epigastric pain, elevated LFTs, lethargy, cachexia, and darkened urine.

A 41-year-old man presented to the emergency department with a one-month history of pain localized to the left flank, hip, and groin.      

A 68-year-old woman with an extensive cardiac history was hospitalized for non-ST-elevation myocardial infarction in the setting of sepsis. Her hospitalization was complicated by a subarachnoid hemorrhage.

A 28-year-old man presented with a palpable mass in the submental area.

A 23-year-old woman with a history of Kabuki syndrome presented with umbilical pain that worsens with standing and lifting.

A 50-year-old man presented to the ED following two days of nausea and vomiting, with subsequent sharp chest and epigastric pain beginning that morning.