A 17-year-old boy is concerned as he has noticed a lump in the middle of his neck. His mother has hypothyroidism and is concerned that her son may have it too. He has no other symptoms and is otherwise well. On examination, you note a painless swelling in the midline...
A 60-year-old woman presents with a lump in the middle of her neck. She is also troubled by regurgitation of her food. On examination, the midline lump gurgles on palpation. 1. What is the most likely diagnosis? Show Answer The diagnosis, in this case, is a pharyngeal...
A 30-year-old swimming instructor presents with right ear pain and discharge. You examine his ear and can see erythema in the ear canal with copious pus and debris also present. 1. What is the most likely diagnosis? Show Answer The diagnosis, in this case, is otitis...
A 6-week-old baby girl is brought in to see you because of concerns about her breathing. She is well at rest but, when feeding, makes a high-pitched, crowing noise on inspiration. It also occurs when the child is sleeping on her back. She has no cough, and her cry is...
A 32-year-old man presents to the Emergency Department following a first episode of a generalized tonic-clonic seizure. 1. What is the neuroimaging investigation of choice for patients presenting to the Emergency Department with a first fit? Show Answer Deferred early...
You review a 60-year-old man who was diagnosed with stable angina two months ago. His angina is currently well controlled, but he has run out of his GTN spray and is requesting an emergency prescription. His angina has not changed recently and remains stable. He has a...
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