These freely available demonstration cases are exact copies of ones currently in use from each course.
This is a case of a 2-week-old infant who presents with poor weight gain and difficulty with his feedings. The infant is found to be in congestive heart failure from a ventricular septal defect. The case illustrates the pathophysiology of congestive heart failure in infancy, how it differs from adults, and how it is managed in infancy. The case also teaches about the evaluation of a heart murmur in a child, including audio recordings of several different heart murmurs.
Final diagnosis: Ventricular septal defect
A 42-year-old woman sees her primary physician after being diagnosed with anemia at a blood drive. Initial testing reveals a normocytic anemia. After a physical evaluation and laboratory work-up she is diagnosed with a combination of iron deficiency anemia and pernicious anemia and treated with iron and vitamin B12 supplements.
Final diagnosis: Iron deficiency, Pernicious anemia
Mr. Jose Martin is a 54-year-old man from the Dominican Republic who presents for a routine physical exam after not engaging in routine health care for over a decade. He is uninsured and overweight. His blood pressure is elevated. Over subsequent visits, Mr. Martin continues to demonstrate elevated blood pressure. He is evaluated for the presence of end-organ disease and identifiable causes of hypertension, and is eventually diagnosed with stage 1 essential hypertension. He is counseled about lifestyle modification and given a prescription for hydrochlorothiazide. When these measures do not adequately control his hypertension, lisinopril is added to his regimen. Upon receiving results of a second fasting lipid profile, Mr. Martin is advised to undertake lifestyle modifications to reduce his low-density lipoprotein cholesterol (LDL) level.
Final diagnosis: Hypertension
This module introduces key features of the WISE-MD course modules.
This woman’s imaging case is designed from the prospective of an obstetric and gynecology physician who assumes the care of a 28-year-old who is presenting with infertility. Initial physical exam demonstrates a palpable breast mass. This scenario allows for the discussion of work-up and management of breast masses in young patients. Upon the resolution of the breast mass work-up the case refocuses on the patient’s infertility. The imaging work up including a hysterosalpingogram and fallopian tube cannulation by interventional radiology. After the patient becomes pregnant, an episode of vaginal bleeding leads to a discussion of imaging in suspected ectopic pregnancy as well as normal first trimester pregnancies. After an ectopic pregnancy is medically treated, the patient becomes pregnant again. During this pregnancy the subject of morphological screening ultrasound is covered along with serum screening for aneuploidy. An episode of abdominal pain and fever bring the patient to the ED where abdominal imaging for medical/surgical conditions in pregnant patients is discussed, as well as discussing radiation exposure to the fetus. A brief introduction to MRI in pregnancy concludes the case long with the birth of a healthy baby boy.
This is the case of a 38-year-old man with a chief complaint of back pain. He has presented to the ED previously for the same complaint on a number of occasions. One will examine taking a history, completing an assessment and exam, then reporting back one's findings.
This case describes the diagnostic journeys of two women who present with anemia and how the diagnostic process may be improved.