Diagnostic Challenge Articles

Recurrent cellulitis following buttock augmentation

Erica Kass, MD, and Eugene Wong, MD November 12, 2009

The patient's pain and swelling failed to resolve despite previous hospitalization and IV cephalosporin therapy.
 

Physician ethics: An all-too-common dilemma

Christopher Zipp, DO, and Carman A. Ciervo, DO October 19, 2009

Should the shocking confession of a depressed patient become a discoverable part of the medical record?
 

Adult tonsillitis: Primary care at the heart of a medical diagnostic team

Ravi Ramaswamy, MD, and E. Robert Marks, MD September 15, 2009

Hoarseness and a chronic cough were symptoms of a rare but important cause of tonsillitis in adults.
 

Bradycardia and a pectoralis twitch in a pacemaker patient

Debra Kleinschmidt, PhD, PA, and Giovanni Ciuffo, MD September 11, 2009

Surgery is required for a woman whose right ventricle was perforated by the tip on the lead of her permanent pacemaker.
 

Uncovering the cause of post-stress test distress

By Christopher Brodkin, MD, Asad Rafiq, MD, Krisna Das, MD, and Margaret Telfer, MD November 17, 2008

Chest pains prompt admission to the hospital, where diagnostic testing triggers new symptoms.
 

Recurring respiratory symptoms signal

Case and analysis by Craig Price, MD August 01, 2008

Most patients with this disorder are smokers, but few smokers have it.
 

Recurrent bronchitis in a gastric bypass patient

CASE AND ANALYSIS BY CHRIS CAVE, MD May 15, 2008

New-onset symptoms trigger a diagnostic quest in a woman with a multifactorial medical history.
 

Muscle soreness in a fit young woman

CASE AND ANALYSIS BY JASON HARPER April 23, 2008

The patient exercised regularly, so what caused swelling and soreness after a single exercise class?
 

An unusual, elusive, postsurgical sequela

Case and Analysis By Sailatha Padmanabhan, MD, AND Rajan Krishnamani, MD March 14, 2008

Fatigue, fever, and chills plague a patient following valve replacement.
 

Rapidly growing oft-tissue mass on the left thigh

CASE AND ANALYSIS BY NEDAA SKEIK, MD, AND FADI I. JABR, MD February 20, 2008

Eosinophilia along with size and growth rate of the mass could have derailed this patient's diagnosis.
 
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