Clinical Challenge: Female, 58 years old. She entered the ER | Figure 1

ReginaldoCastro

Internal Medicine

Clinical Challenge

Female, 58 years old. She entered the ER with intense dyspnea. The clinical evaluation shows jugular stasis, lower limb edema (++ / 4+) and the presence of B3 in auscultation. What is the diagnosis? What is the correct management of this patient?


Trending Cases

Patient presented to clinic with history of 3 days high grade fever and this fluid filled multiple vesicles and bullae that developed after fever, not associated with pain. No history of pruritis. What is Dx and D/Ds?

15 years-old male, scholar, came to visit presenting fever and submandibular and right cheek swelling... What do you think about the case?

55 years old male presented to our clinic with hx of hypertension and diabetes... what is the next step in management?

Right median nerve at the carpal tunnel ... What measurement parameters does your facility use to quantitatively evaluate for median nerve swelling?


More Cases

A 52-year-old man presented with a 20-minute history of chest pain...

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back...

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days...

Patient in late teens presenting after a collapse...