Case Discussions
Clinical reasoning, diagnostic puzzles, and teaching cases
Acute Generalised Exanthematous Pustulosis in a 69-Year-Old Man: A Rare Drug Reaction Case
A 69-year-old man's case of acute generalised exanthematous pustulosis (AGEP), a rare but severe drug-induced skin reaction, highlights the importance…
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A 68-Year-Old Man With Chest Pain: Diagnosing Descending Thoracic Aortic Aneurysm
A teaching case in The New England Journal of Medicine describes diagnostic and surgical management of descending thoracic aortic aneurysm,…
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Weight-Loss Surgery in Type 1 Diabetes: A Case That Challenges Old Boundaries
Bariatric surgery is well established for severe obesity and type 2 diabetes — but its…
Heart Surgery at 80+: How a Staged Hybrid Approach Saved a High-Risk Patient
An 87-year-old man arrived with a heart attack, three-vessel-level risk, and a body already carrying…
Infection at the Heart of the Repair: Rescuing a Patient After Aortic Dissection Surgery
Infections around an aortic graft after major aortic surgery are uncommon but carry reported mortality…
The Teenager Whose Heart Failure Looked Like a Stomach Bug — A Fatal Lesson for Paediatric Screening
A 17-year-old boy was sent home twice with a diagnosis of food intoxication before anyone…
The Child Who Ate Sand: How a Hidden Eating Disorder Led to Emergency Surgery
Foreign body appendicitis accounts for less than 0.001% of all appendicitis cases — genuinely rare.…