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Clerkshift

A case from the library

Confusion and a swollen belly in a 60-year-old man

EndocrinologyMedium

Rajesh Patel

60 years · Male

Vitals

Heart rate
54 bpm
Blood pressure
138/88 mmHg
Resp. rate
12 /min
SpO₂
95%
Temperature
96.1 °F

How hard it is

A real-world presentation with one or two atypical features. You'll need targeted questions and the right test to narrow the differential.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in Journal of Medical Case Reports, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.