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  • CLINICAL I HUMAN CASE STUDY: A 56-Year Old Female
  • CLINICAL I HUMAN CASE STUDY: A 56-Year Old Female
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Exam (elaborations)

Medical Perspectives Case Studies

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2025/2026 Written for academic year
Institution CLINICAL I HUMAN CASE STUDY: A 56-Year Old Female
Course CLINICAL I HUMAN CASE STUDY: A 56-Year Old Female
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MEDICAL PERSPECTIVES CASE STUDIES

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MEDICAL PERSPECTIVES CASE STUDIES

UrinaryxcTractxcStonesxc-xcanswer--Nathanxcisxcaxc56-year-
oldxcmalexcwhoxcpresentsxctoxcthexcERxcuponxcwakingxcupxctoxcseverexcandxcintensifyingxcpainxcinxc
hisxcleftxcflankxcregion.xcPatientxcisxcinxcobviousxcacutexcdistressxcwithxcsignificantxcanxiety,xcpallor
xcandxcdiaphoresis.xcPtxcisxcunablexctoxcsitxcstillxcandxccontinuesxctoxcmovexcaroundxcandxcgroaning

xcinxcpain.xcHexcdevelopsxcnauseaxcfromxcthexcpainxcandxcvomitsxctwicexcwhilexcinxcthexcER.xcBlood

workxcrevealedxchighxclevelsxcofxcuricxcacid.

Hypothyroidismxc-xcanswer--Cindyxcisxcaxc29-year-
oldxcfemalexcwhoxcpresentsxctoxcthexcERxccomplainingxcofxcfeelingxcweak,xctiredxcwithxcjointxcandxc
musclexcpain.xcShexcreportsxcfeelingxc"coldxcallxcthexctime"xcandxcaxc30xclb.xcweightxcgainxcinxcthexcl
astxc8xcmonths.xcPatientsxcstatesxcthatxcshexchasxcbeenxcexperiencingxcrecurrentxcheadaches,xc
mildxcconstipationxcandxcaxclackxcofxcaxcmenstrualxcperiod.xcAxcpregnancyxctestxcwasxcdetermined
xctoxcbexcnegative.xcThexcphysicianxcnotedxcthatxcherxcvoicexcwasxchoarsexcandxcherxchandxcandxcf

acexcwerexcpuffyxcwithxcdryxcandxcflakyxcskin.xcBloodxctestxcrevealedxchighxclevelsxcofxcTSH.

RupturedxcSpleenxc-xcanswer--Jeremyxcisxcaxc29-year-
oldxcmalexcprofessionalxcathletexcwhoxcpresentsxctoxcthexcERxcfollowingxcanxcinjuryxcduringxcaxcfoo
tballxcgame.xcThexcpatientxcreportsxctakingxcanxcaggressivexctacklexcwhenxcthexclinemanxctookxchi
mxcdownxcbyxcwrappingxcaroundxchisxcwaist.xcThexcpatientxcdidxcnotxcimmediatelyxcfeelxcanyxcsym
ptomsxcotherxcthanxcthexc"normalxcpainxcofxcbeingxctackled"xchoweverxclaterxcbeganxctoxchavexcab
dominalxctenderness.xcTeamxcdoctorsxcbeganxctoxcbexcconcernedxcwhenxcthexcpatientxcbeganxce
xperiencingxclight-
headedness,xcconfusionxcandxcblurredxcvision.xcThexcpatientxcwasxcexperiencingxc"violentxcpain"
xcinxcthexcleftxcshoulderxcandxcanxcultrasoundxcrevealedxcbloodxcinxcthexcabdomen.



Ringwormxc-xcanswer--Timxcisxcaxc11-year-
oldxcmalexcwhoxcisxcbroughtxctoxcthexcERxcafterxchisxcmotherxcnoticedxcanxcoddxcrash-
likexcmarkingxconxchisxcarm.xcThexcmarkingxcisxcaxcscaly,xc2-inchxcdiameterxccircle-
shapedxcareaxcthatxcappearsxctoxchavexcsomexcinflammation.xcThexcpatientxcreportsxcthatxcthexcar
eaxcisxc"veryxcitchy",xcbutxchasxcnoxcotherxcsignsxcorxcsymptoms.xcAxcsmallxcscrapingxcofxcthexcskinx
cisxcsentxctoxcthexclabxcforxcanalysisxcandxcthexcresultsxcshowxcthexcpresencexcofxcfungi.



Anaphylaxisxc-xcanswer--Elizabethxcisxcaxc14-year-
oldxcfemalexcwhoxcisxcbroughtxctoxcthexcERxcbyxcherxcmotherxcafterxcpatientxcwasxcstungxcbyxcanxcu
nknownxcinsectxconxcherxcrightxcarmxcwhilexchikingxcinxcthexcwoods.xcThexcareaxcofxcthexcstingxcapp
earsxctoxcbexcredxcandxcswollenxcwithxchivesxcspreadingxctoxcthexcneckxcandxctrunk.xcPatientxcisxcha
vingxcdifficultyxctalkingxcduexctoxcswellingxcofxcthexctonguexcandxcisxcbeginningxctoxcwheeze.xcPatie
ntxcstatesxcshexcisxcfeelingxc"faint"xcand
"lightheaded."xcVitalsxcsignsxcrevealxctachycardiaxcandxchypotension.

MunchausenxcbyxcProxyxc-xcanswer--Shelbyxcisxcaxc11-year-
oldxcfemalexcwhoxcwasxcbroughtxctoxcthexchospitalxcbyxcherxcmotherxcwithxcconcernsxcthatxcherxcda
ughterxchasxcaxcbrainxctumor.xcThexcmotherxcclaimsxcthatxcthexcpatientxchasxcbeenxcinxcintensexcpai

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