Diagnostic Challenge: The Geriatric Patient Articles

Genital ulcer in a vacationing patient

By Everett Schlam, MD March 13, 2009

A man returns from a trip with an unwanted souvenir.
 

Transient severe breathing difficulty while shoveling snow

By Benjamin M. Kaplan, MD, and Albert J. Miller, MD February 05, 2009

An elderly woman returns home from a balmy South Pacific vacation and finds very cold temperatures. While shoveling snow, she finds that she can't get air into her lungs. With no history of pulmonary or heart disease, what's wrong?
 

Unusual epigastric pain and retching

CASE AND ANALYSIS BY EVERETT W. SCHLAM, MD September 30, 2008

Vague symptoms brought this patient to the ED three times before physicians made a rare diagnosis.
 

Osteoarthritis turns out to be much more

CASE AND ANALYSIS BY JACK WAXMAN, MD August 01, 2008

A condition that seemed to be under control flares, with painful complications.
 

New-onset neck and shoulder pain in an arthritis patient

CASE AND ANALYSIS BY YVONNE DUNN, MD, AND MICHELLE MIZRACHI, MD June 26, 2008

A UTI triggers complications in a patient with two forms of arthritis. Mr. G, aged 74, initially came to the ambulatory-care clinic for pain in his right shoulder and neck. The shoulder pain had started about one month earlier, when he developed a "grapefruit-sized" lump...
 

Unexpected cause of weight loss and iron deficiency anemia

CASE AND ANALYSIS BY EVERETT W. SCHLAM, MD April 23, 2008

The patient reported a voracious appetite, but a 15-lb weight loss over the preceding three months prompted a diagnostic quest.
 

Progressive symptoms with family ties

CASE AND ANALYSIS BY SAMUEL N. GRIEF, MD March 14, 2008

Hoarseness and slowed ocular movements were the first signs in a yearlong hunt for a diagnosis.
 

Two diagnoses yield to one therapeutic assault

CASE AND ANALYSIS BY JACK WAXMAN, MD February 20, 2008

Therapy intended for one immune disorder also alleviates another.
 

Was Mrs. K's back pain preventable?

CASE AND ANALYSIS BY MARGARET KILIBWA, PhD, AND GLORIA A. BACHMANN, MD November 20, 2007

Her discomfort could have been from inevitable arthritis, but there were signs of a different diagnosis.
 

Weight loss, fatigue, and troubling lab findings

CASE AND ANALYSIS BY CHRIS BRODKIN, MD, AND RANGAN MURALI, MD September 11, 2007

Elevated liver enzymes were the first clue to a grave diagnosis.