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Clerkshift

A case from the library

Vomiting, diarrhea and weakness in a 78-year-old woman

Emergency MedicineMedium

Margaret Collins

78 years · Female

Vitals

Heart rate
40 bpm
Blood pressure
103/57 mmHg
Resp. rate
24 /min
SpO₂
92%
Temperature
97.8 °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 European Heart Journal: 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.