Testicular Pain in a Young Man

Testicular Pain in a Young Man

An 18-year-old man presents with acute, severe testicular pain, abdominal pain, and vomiting. On examination, his testis is too tender to touch. He tells you that he had a brief episode of testicular pain three weeks ago, but it resolved spontaneously after about 30...
An Unexpected Delivery

An Unexpected Delivery

A 27-year-old woman who is full-term pregnant is rushed to the Emergency Department by her husband with abdominal pain. She is taken to a cubicle, and you are asked to assess her. Upon entering the cubicle, you discover that she has given birth to a baby girl, who is...
A 30-Year-Old Man With a Neck Mass

A 30-Year-Old Man With a Neck Mass

A 30-year-old man presents with a 4 cm mass on the left side of his neck. He mentions that the swelling has been present for several months and was previously treated with antibiotics for what was thought to be an infection, but the mass has persisted. There is no...
A 24-Year-Old Man With Jaundice and Elevated Bilirubin

A 24-Year-Old Man With Jaundice and Elevated Bilirubin

A 24-year-old man presents after his colleagues noticed yellowing of his sclera. He reports a history of taking over-the-counter (OTC) pain medications for a recent gym injury but denies any recent illness. Blood tests reveal elevated bilirubin levels, but ALT and AST...
A 28-Year-Old man with a Scrotal Swelling

A 28-Year-Old man with a Scrotal Swelling

A 28-year-old man presents with a painless, firm swelling in the body of his right testis. On examination, the swelling feels hard, lies within the testis and does not transilluminate. 1. What is the most likely diagnosis? Show Answer The most likely diagnosis, in...