ACP Clinical Vignettes

My Motorcycle Broke My Heart

October 30, 2023

My Motorcycle Broke My Heart

Weakness in a Young Male

October 30, 2023

Weakness in a Young Male

An Acute Turn of Events

October 30, 2023

An Acute Turn of Events

Oh Where Oh Where Has My Red Blood Cell Gone

October 30, 2023

Oh Where Oh Where Has My Red Blood Cell Gone

A Severe Case of the Tremors

October 30, 2023

A Severe Case of the Tremors

Fungus Among Us

October 30, 2023

Fungus Among Us

Unusual Cause of Ascites

October 30, 2023

Unusual Cause of Ascites

Dysphagia: A Tough Pill to Swallow

October 30, 2023

Dysphagia: A Tough Pill to Swallow

Elevated Troponin with Ptosis and Blurry Vision

October 30, 2023

Elevated Troponin with Ptosis and Blurry Vision

Gas in the Gut

October 30, 2023

Gas in the Gut

Cracking the Case

October 30, 2023

Cracking the Case

Abdominal Pain and Vomiting

October 24, 2023

Abdominal Pain and Vomiting

Knee Pain

October 24, 2023

Knee Pain

Toxic Delusions

October 24, 2023

Toxic Delusions

Nephrons of a Split Mind

October 24, 2023

Nephrons of a Split Mind

Dyspnea in a Patient with Rheumatoid Arthritis

October 24, 2023

Dyspnea in a Patient with Rheumatoid Arthritis

An Unexpected Hole in the Heart

October 24, 2023

An Unexpected Hole in the Heart

When a Bike Crash Saves a Life

October 24, 2023

When a Bike Crash Saves a Life

Can’t Shake These Fevers

October 24, 2023

Can’t Shake These Fevers

The Case of the Bloated Abdomen

October 24, 2023

The Case of the Bloated Abdomen

A Rash Diagnosis

October 24, 2023

A Rash Diagnosis

Which Drug, Which Rash?

October 24, 2023

Which Drug, Which Rash?

A Monster of Our Own Creation: When Immunotherapy Goes Awry

October 24, 2023

A Monster of Our Own Creation: When Immunotherapy Goes Awry

2023 ACP Clinical Vignette Competition

September 20, 2023

2023 ACP Clinical Vignette Competition

ACP Clinical Vignette Competition Finalists

September 20, 2023

ACP Clinical Vignette Competition Finalists

COMPETITION WINNER: Thin Air: Into the Thick of PPFE

February 15, 2023

COMPETITION WINNER: Thin Air: Into the Thick of PPFE

FINALIST: More Than Just a Cough

February 15, 2023

FINALIST: More Than Just a Cough

FINALIST: Of Bellies and Bone Marrow

February 15, 2023

FINALIST: Of Bellies and Bone Marrow

FINALIST: Paranoia and Dysautonomia

February 15, 2023

FINALIST: Paranoia and Dysautonomia

Abdominal Pain, Neutropenia and Fever

February 15, 2023

Abdominal Pain, Neutropenia and Fever

Posthospital Follow-up with Hyperkalemia

February 15, 2023

Posthospital Follow-up with Hyperkalemia

A Curious Case of Cardiomyopathy

February 15, 2023

A Curious Case of Cardiomyopathy

Unilateral Leg Swelling and Bruising

February 15, 2023

Unilateral Leg Swelling and Bruising

Recurrent Brief Psychosis Responsive to Lorazepam

February 15, 2023

Recurrent Brief Psychosis Responsive to Lorazepam

Complimentary Causes of Facial Swelling

February 15, 2023

Complimentary Causes of Facial Swelling

Syncope of Unknown Origin

February 15, 2023

Syncope of Unknown Origin

When a Big Heart Is a Bad Sign

February 15, 2023

When a Big Heart Is a Bad Sign

A Pathology Paradox

February 15, 2023

A Pathology Paradox

Weakness in a Veterinarian

February 15, 2023

Weakness in a Veterinarian

An Unusual Case of Tongue Necrosis

February 15, 2023

An Unusual Case of Tongue Necrosis

There’s No Telling When You’ll Be Swelling

February 15, 2023

There’s No Telling When You’ll Be Swelling

Ticking Time Bomb

February 15, 2023

Ticking Time Bomb

The Eye of the Storm

February 15, 2023

The Eye of the Storm

Retrosternal Burning Chest Pain

February 15, 2023

Retrosternal Burning Chest Pain

Expanding Your Differential: When Arthritis Treatment Does Not Work

February 15, 2023

Expanding Your Differential: When Arthritis Treatment Does Not Work

Fluid Overload with Multiorgan Failure

February 15, 2023

Fluid Overload with Multiorgan Failure

Whose Antibody Is It Anyway? Hemolytic Anemia in a Patient with Guillain-Barré Syndrome

February 14, 2023

Whose Antibody Is It Anyway? Hemolytic Anemia in a Patient with Guillain-Barré Syndrome

A Hunter with a Chronic Sore Throat

February 14, 2023

A Hunter with a Chronic Sore Throat

Calcified Cavitary Conundrum: Delayed Diagnosis of Histoplasmosis

February 14, 2023

Calcified Cavitary Conundrum: Delayed Diagnosis of Histoplasmosis

A One-Sided Story

February 14, 2023

A One-Sided Story

Chest Pain for 5 Days

February 14, 2023

Chest Pain for 5 Days

A Tale of Two Cytopenias

February 14, 2023

A Tale of Two Cytopenias

An Unusual Case of Rhabdomyolysis and Encephalopathy

February 14, 2023

An Unusual Case of Rhabdomyolysis and Encephalopathy

Weakness, Falls and a New Rash

February 14, 2023

Weakness, Falls and a New Rash

COMPETITION WINNER: Mind the Gap!

October 6, 2021

COMPETITION WINNER: Mind the Gap!

FINALIST: Not Just a Hemorrhoid?

October 6, 2021

FINALIST: Not Just a Hemorrhoid?

FINALIST: Rash in a Patient with Transaminitis and Bile Duct Stricturing

October 6, 2021

FINALIST: Rash in a Patient with Transaminitis and Bile Duct Stricturing

FINALIST: Significant Mucosal Bleeding in a Patient with Lupus

October 6, 2021

FINALIST: Significant Mucosal Bleeding in a Patient with Lupus

Thyroid Myopathy

October 6, 2021

Thyroid Myopathy

Fever, Throat Pain, and a Mysterious Rash

October 6, 2021

Fever, Throat Pain, and a Mysterious Rash

Rash Decisions

October 6, 2021

Rash Decisions

Altered Mental Status Following an Admission for High Blood Glucose

October 6, 2021

Altered Mental Status Following an Admission for High Blood Glucose

A Serious Case of Diarrhea

October 6, 2021

A Serious Case of Diarrhea

A Case of Bloody Diarrhea

October 6, 2021

A Case of Bloody Diarrhea

What a Shock!

October 6, 2021

What a Shock!

Altered Mental Status and Abdominal Pain

October 6, 2021

Altered Mental Status and Abdominal Pain

Diffuse Calcinosis as a Presenting Symptom of Dermatomyositis

October 6, 2021

Diffuse Calcinosis as a Presenting Symptom of Dermatomyositis

A Tale of Two Diagnoses

October 6, 2021

A Tale of Two Diagnoses

A Lysis Crisis

October 6, 2021

A Lysis Crisis

Life Loves the Liver of It

October 6, 2021

Life Loves the Liver of It

Failure and Celiac Disease

October 6, 2021

Failure and Celiac Disease

Vision and Hearing Loss in a Patient with Encephalopathy

October 6, 2021

Vision and Hearing Loss in a Patient with Encephalopathy

Scleritis is Just the Beginning

October 6, 2021

Scleritis is Just the Beginning

This is Not GERD

October 6, 2021

This is Not GERD

Spontaneous Coronary Artery Dissection

October 6, 2021

Spontaneous Coronary Artery Dissection

Nothing but Net: A Case of Livedo Reticularis

October 6, 2021

Nothing but Net: A Case of Livedo Reticularis

Rash and Renal Disease

October 13, 2020

Rash and Renal Disease

A Rheumatic HIT

October 13, 2020

A Rheumatic HIT

Shortness of Breath in an Immunocompromised Host

October 13, 2020

Shortness of Breath in an Immunocompromised Host

I Can’t Move my Arms or Legs

October 13, 2020

I Can’t Move my Arms or Legs

Ascites, A Rainbow of Opportunity

October 13, 2020

Ascites, A Rainbow of Opportunity

A Purpura Puzzle

October 13, 2020

A Purpura Puzzle

Concern for Food Allergy

October 13, 2020

Concern for Food Allergy

Parkinsonism: Eyeing an Unusual Diagnosis

October 13, 2020

Parkinsonism: Eyeing an Unusual Diagnosis

Owner of a Lonely Heart

October 13, 2020

Owner of a Lonely Heart

Chest Pain

October 13, 2020

Chest Pain

Hypercalcemia due to ectopic PTH secretion from metastatic tumor treated with CRRT

October 12, 2020

Hypercalcemia due to ectopic PTH secretion from metastatic tumor treated with CRRT

Chest Pain and Dyspnea

October 12, 2020

Chest Pain and Dyspnea

An usual case of diverticulitis

October 12, 2020

An usual case of diverticulitis

What lurks in the shadow

October 12, 2020

What lurks in the shadow

Headache after a fall

October 12, 2020

Headache after a fall

Painful tongue mass

October 12, 2020

Painful tongue mass

Shaky Delirium

October 12, 2020

Shaky Delirium

Fever revisited in an immunocompromised patient

October 12, 2020

Fever revisited in an immunocompromised patient

Fever and shortness of breath

October 12, 2020

Fever and shortness of breath

When heart failure isn’t just heart failure

October 12, 2020

When heart failure isn’t just heart failure

Hives, Joint Pain, and Fevers: A Diagnosis…

October 12, 2020

Hives, Joint Pain, and Fevers: A Diagnosis…

Altered Behavior and Malaise

October 12, 2020

Altered Behavior and Malaise

The Bruise Comes Before the Fall

October 12, 2020

The Bruise Comes Before the Fall

Deadly Wavy Rhythm

July 14, 2020

Deadly Wavy Rhythm

Heart Failure with a Twist: Fever and Lymphadenopathy in an Immunosuppressed Patient

July 14, 2020

Heart Failure with a Twist: Fever and Lymphadenopathy in an Immunosuppressed Patient

VTE in malignancy, an alternative mechanism

July 14, 2020

VTE in malignancy, an alternative mechanism

Encephalopathy, Respiratory Depression, and Flaccid Paralysis

July 14, 2020

Encephalopathy, Respiratory Depression, and Flaccid Paralysis

Wha’t’s going on?

July 14, 2020

Wha’t’s going on?

Coagulopathy with hypercalcemica and confusion

July 14, 2020

Coagulopathy with hypercalcemica and confusion

Autoimmune Hepatitis Presenting with Concurrent Myocarditis

July 14, 2020

Autoimmune Hepatitis Presenting with Concurrent Myocarditis

A case of vision loss

July 14, 2020

A case of vision loss

Clozapine, a Catch-22

July 14, 2020

Clozapine, a Catch-22

CAP with a Twist

July 14, 2020

CAP with a Twist

Multiple Positive Autoantibodies and Recurrent Anterior Uveitis

July 14, 2020

Multiple Positive Autoantibodies and Recurrent Anterior Uveitis

I can’t see

July 14, 2020

I can’t see

Too Close to the Edge

July 14, 2020

Too Close to the Edge

Fibromyalgia or a PE?

July 14, 2020

Fibromyalgia or a PE?

$Chronic Refractory Diarrhea in an AIDS patient$

July 14, 2020

Chronic Refractory Diarrhea in an AIDS patient

Bleeding Gastric Varices with a Normal Liver

July 14, 2020

Bleeding Gastric Varices with a Normal Liver

Creating a Path through Fevers and Dyspnea

July 14, 2020

Creating a Path through Fevers and Dyspnea

Recurrent VT/VF

July 14, 2020

Recurrent VT/VF

A Hiccup in the Workup of Altered Mental Status

July 14, 2020

A Hiccup in the Workup of Altered Mental Status

Chest Pain

July 14, 2020

Chest Pain

Do you want to build a snowman?

July 14, 2020

Do you want to build a snowman?

A not-so-simple fever and cough

July 14, 2020

A not-so-simple fever and cough

Not Just Another GI Bleed

July 14, 2020

Not Just Another GI Bleed

Postoperative Presyncope

July 14, 2020

Postoperative Presyncope

A Mixed Picture

July 14, 2020

A Mixed Picture

22-Year Old Male with a Mediastinal Mass and Hemoptysis

July 14, 2020

22-Year Old Male with a Mediastinal Mass and Hemoptysis

Shortness of Breath, Not Always What You’d Expect

July 14, 2020

Shortness of Breath, Not Always What You’d Expect

A Clot in Transit

July 14, 2020

A Clot in Transit

When things don’t improve after ERCP

July 14, 2020

When things don’t improve after ERCP

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