Internal Medicine/Pediatrics Case-Based Review

Allen Liles, MD, is the Program Director for the Med/Peds Residency Program, and Assistant Professor of Medicine and Pediatrics at the University of North Carolina School of Medicine.Richard Wardtrop, MD, PhD, is the Chief Resident in the Combined Med/Peds Residency Program at the UNC School of Medicine.

• 1.Evidence Based Medicine2.66 y/o male with anemia and low back pain3.29 y/o female with crushing chest pain4.14 y/o male old with fever, abdominal pain, and new rash 5.36 y/o female with intermittent crushing chest pain6.5 y/o female child with fever and rash7.19 y/o male with malaise, weight loss, and cough8.2 y/o female with cyanosis and lethargy 9.8 day old with poor feeding10.25 y/o male with fever after return from Thailand11.30 y/o female with fever and weight loss12.1 day old female with cyanosis13. 32 y/o male with neck pain14.2 day old with lethargy and hypothermia16.32 y/o male with worsening dyspnea on exertion17.4 y/o female with tachypnea 18.9 y/o female with fatigue and icterus 19.15 y/o female with new onset of dyspnea 20.65 y/o male with acute onset of left sided pleuritic chest pain 21.4 y/o male with fever, chest pain and altered mental status22.1 y/o male with lymphadenopathy and fever23.31 y/o female with pica, alopecia and hirsuitism24.2 day old male with respiratory distress25.38 y/o female with hand swelling26.3 week old male infant with lethargy27.5 y/o male with ear ache and spells28.25 y/o male with recurrent aseptic meningitis29.5 day old male infant with a murmur30.7 y/o female with diarrhea and pallor31.33 y/o male new bilateral lower extremity edema32.5 y/o male with fever and conjunctivitis33.1 y/o male with linear growth failure for 3 months 34.25 y/o woman with headaches and visual changes x 3 months35.14 y/o female with dyspnea and exercise intolerance 36.4 y/o male with syncope37.28 y/o female with progressive dyspnea on exertion and leg edema38.10 day old male infant with persistent jaundice39.4 y/o female with abdominal pain and swelling.40.29 y/o female with dyspnea, chest pain, and palpitations 41.45 y/o male with bloody sputum, tachypnea 42.42 y/o male with progressive SOB 43.5 y/o female with 40 hour history of progressive lethargy, nausea, and yellow skin44.14 y/o female with blurry vision and tingling arms45.49 y/o female with 24 hours of right sided numbness and facial droop46.89 y/o female with dyspnea and diaphoresis 3 days after orthopedic surgery47.46 y/o male with failure to thrive48.38 y/o male with syncope and palpitations49.40 y/o female with dyspnea and weight loss50.73 y/o female with “fullness in the neck” with exertion 51.66 y/o female with edema and malaise52.60 y/o female with palpitations, fatigue and night sweats 53.2 y/o female with fever and nystagmus54.54 y/o white male with fever, rash 55.15 y/o male with rash and abnormal renal function 56.52 y/o woman with chest pain, arm numbness57.60 y/o male with chronic cough and weight loss58.7 month old female with rash and failure to thrive59.5 y/o female with 3 weeks of fever and abnormal cardiac exam60.2 month old with respiratory failure and hypotension61.33 y/o male with 1 day history of lower extremity weakness and inability to walk62.2 y/o female with fever 63.1 day old infant with bilious emesis64.20 y/o with easy bruising65.7 y/o with left eye swelling66.76 y/o with increasing abdominal girth67.20 y/o with shortness of breath68.75 y/o with shortness of breath69.14 day old with lethargy70.22 y/o with leg pain71.8 y/o with diarrhea72.28 y/o with hemoptysis73.80 y/o man with the worst headache of his life74.43 y/o with syncope75.23 y/o female with abdominal pain