Case 1 – The Fearful Patient

You are about to see Mr. Oberman, a 23 year old male, in your outpatient clinic. He is a long time patient of yours. He comes to your office today because he’s becoming increasingly afraid to leave his house and he wants your help. He is very agitated. Please take a...

Case 3 – Pain in Legs

You are seeing Mr. Perera, a 68 year old male, in an outpatient clinic. He’s coming in today because he’s been getting pain in his legs for the last few months, and it’s getting worse. Please take a focused history of his complaint. History Onset and duration of pain...

Case 2 – Limb Pain

You are seeing Ms. Richards, a 45 year old female, in the ER for a two day history of right leg pain. Please perform a focused history and physical examination. History Onset and duration of pain Severity of pain Location of pain Alleviating and aggravating factors...

Case 1 – Acute Paralysis

You are seeing Ms. Richards, a 75 year old female, in the ER. She is distraught because she is presenting with a two hour history of complete left leg paralysis. Please perform a focused history and physical examination. History Onset and duration of paralysis...

Case 4 – The Sick Child

You are about to see 7 year old boy named Bobby. His father has brought him in and tells you that he’s been significantly less active in the last two days, and that he’s been running a high fever. Perform a focused physical examination for a child with a fever....

Case 3 – Tired Teenager

You are seeing Haley Schilling, a 15 year old female, who’s coming to your office today at the behest of her mother. She has recently become more tired and her mom is concerned that she has ‘low blood.’ Take a focused history from Haley. History Determines chief...

Case 2 – Infant Diarrhea

You are seeing Mrs. Bosco, a 25 year old female who recently gave birth to a baby named Michael six weeks ago. Today, she presents to your office because she is concerned about the baby’s health. Take a focused history of Mrs. Bosco’s complaint. History Determines...

Case 2 – Sore Throat

You are seeing Tom, a 10 year old boy, in your outpatient clinic today for a sore throat. Take a focused history of his complaint and perform the relevant physical examination. History Onset of sore throat Severity Alleviating factors Aggravating factors Change in...

Case 5 – Dizziness

You are seeing Mr. Rodriguez, a 31 year old man, because he often feels dizzy. Take a focused history and perform the Dix-Hall Pike maneuver. History Clarifies symptoms are descriptive of vertigo (‘the room spinning around’) Duration of dizziness Frequency Associated...

Case 4 – Neck Mass

You are seeing Mrs. Nguyen, a 52 year old woman, because she noticed a large swelling on her neck. Take a focused history and perform a focused head and neck examination. History Clarifies location of mass (patient thinks it’s on the her right side of her neck) Onset...