A 69 year-old woman with chest pain and syncope
A 69-year-old woman, with a medical history of myocardial infarction and hypertension, visits the doctor with the following symptoms: fatigue, confusion, chest pain and syncope. These symptoms occur a few times a week. Ambulatory ECG monitoring for two weeks was indicated. During her symptoms the ECG shows the following:
An abnormal ovary
A 31 year-old woman consulted the gynecologic outpatient clinic complaining of dysmenorrhea, dyspareunia and daily abdominal discomfort since several months. The pain is progressive since ceasing the oral contraceptive pill in order to conceive. She has a regular cycle, with an average duration of 28 days and a menstruation lasting 3-4 days.
A 23-year-old male with his right hand paralyzed
A 23-year-old man visits the emergency room. Upon awakening that morning, he noticed that his right hand was paralyzed.
A 65-year-old female with an unusual object
A 65-year-old woman was presented with an unusual object sticking out of her chest. The patient has no pain, dyspnoe or fever. Her medical history included a mitral and tricuspid valve repair 15 years ago. Six months ago, a central venous catheter was placed for dialysis.
A 3 year-old girl with a severe skin disease
Hanke is a 3-years old girl with constitutional eczema and respiratory problems, who you know from your paediatric outpatient department. By prescribing class 2 corticosteroid a temporarily effect has been achieved. During a telephone call her mother tells you that since 2 days the eczema has exacerbated and new spots have developed.
A 14-year-old girl
At the outpatient a 14-year old girl is seen with progressive blue-purple discolorization of her feet. Walking was painful. Upon physical examination discolorization is noted of her toes and the front parts of her feet. There were some blisters on her toes.
A 28-year-old female
A 28-year-old woman presented with ataxia, behavioural changes and a ring encircling the iris of her eyes.
A 3-month-old male
A 42-year-old male
A 54-year-old female