Case study: COVID-19 with generalized muscle weakness, fever, chills, cough
A 33-year-old man with a past medical history of alpha thalassemia came to the emergency department (ED) with generalized weakness, fever, chills, productive cough with scant yellow sputum, myalgia, and arthralgia for 10 days. The patient endorsed a lack of appetite and an episode of non-bilious vomiting with epigastric pain and dysuria. At presentation, the patient denied chest pain, shortness of breath, palpitations, or diarrhea. The patient had not traveled outside of the United States (US) and had no known allergies.
Source: Cureus https://www.cureus.com/articles/29075-a-case-of-a-covid-19-positive-patient
Case study: COVID-19 with cough, dyspnea
A 24-year-old man presents to the emergency department with a tactile fever, cough, and shortness of breath that have persisted for approximately 7 days. The patient notes that his symptoms have worsened in the past 2 days and denies any signs of bleeding, chest pain, or other complaints. He has no significant medical history.
Case study: COVID-19 with neurological complications
A 50-year-old man presented with anosmia, ageusia, right internuclear ophthalmoparesis, right fascicular oculomotor palsy, ataxia, areflexia, albuminocytologic dissociation and positive testing for GD1b-IgG antibodies. Five days before, he had developed a cough, malaise, headache, low back pain, and a fever.
Source: https://n.neurology.org/content/early/2020/04/17/WNL.0000000000009619
Also referenced: https://www.medscape.com/viewarticle/929631?src=WNL_trdalrt_200503_MSCPEDIT&uac=69698SK&impID=2366245&faf=1
Case Study: 66 yo male w pain and swelling in the knee
A 66-year-old man presents to the emergency department with a 3-day history of gradually worsening pain and swelling in his left knee. He denies any injury other than a scrape sustained approximately 1 week ago. He reports no fever, redness or warmth to the knee, additional injuries, or other complaints.
Case Study: 49 yo female w acute episodic chest pain
A 49 year old Afro-Caribbean woman presents to A&E after a 30 minute episode of severe, burning central chest pain radiating to the throat. When she had the pain she felt cold and sweaty but is now symptom-free. Episodes of a similar but less severe pain had occurred daily for the previous 10 days, predominantly at rest but also when climbing the stairs at home. The patient has multiple risk factors for coronary disease (including type II diabetes, hypertension, and being a smoker), but the clinical presentation is not absolutely typical for coronary artery disease and the initial ECG is normal.
Source: https://heart.bmj.com/content/90/1/112
NOTE: Refine Diagnosis displays all undiscerned findings for selected diagnosis (unstable angina), sorted by diagnostic utility. Also highlighted are patient findings relevant to selected diagnosis.
Case Study: 57 yo male with chest pain and diaphoresis
A 57 year-old male lorry driver, presented to his local emergency department with a 20-minute episode of diaphoresis and chest pain. The chest pain was central, radiating to the left arm and crushing in nature. The pain settled promptly following 300 mg aspirin orally and 800 mcg glyceryl trinitrate (GTN). He smoked 20 cigarettes daily (38 pack years) but was not aware of any other cardiovascular risk factors. On examination he appeared comfortable and was able to complete sentences fully. There were no heart murmurs present on cardiac auscultation. Blood pressure was 180/105 mmHg, heart rate was 83 bpm and regular, oxygen saturation was 97%.
Source: https://academic.oup.com/omcr/article/2016/4/62/2364252
Case Study: 34 yo male with radiating chest pain for 10 hours
A 34-year-old male with no significant past medical history presents to the emergency department with 10 hours of constant chest pain radiating into his back that started last night. The pain is not severe unless he lies down or completely empties his lungs of air. Because of this, he had to sleep sitting up. He denies any fever, shortness of breath, cough, symptoms in his arms or legs or other complaints.
Source: https://www.practicalcardiology.com/view/case-report-34-year-old-male-radiating-chest-pain