Library
Case library
0 of 1009 solved · titles never spoil a diagnosis
- 1Sudden breathlessness five days after a knee operationInternal Medicine · Intermediate · 6 minNew
- 2A thirsty teenager brought in drowsy and breathing deeplyEmergency Medicine · Introductory · 5 minNew
- 3Cyclical fevers and dark urine two weeks after travelInfectious Disease · Intermediate · 6 minNew
- 4The worst headache of her life, peaking in secondsNeurology · Intermediate · 5 minNew
- 5Abdominal pain that started centrally and then movedSurgery · Introductory · 4 minNew
- 6Headache and swelling at 34 weeks of pregnancyObstetrics & Gynaecology · Intermediate · 5 minNew
- 7A toddler with a barking cough at two in the morningPaediatrics · Introductory · 4 minNew
- 8Crushing central chest pain while walking to the busCardiology · Intermediate · 5 minNew
- 9A university student with fever and a rash that will not blanchInfectious Disease · Advanced · 6 minNew
- 10Exhaustion, weight loss and skin that looks tanned in winterInternal Medicine · Advanced · 6 minNew
- 11Sudden crushing central chest pain while climbing stairsCardiology · Introductory · 5 minNew
- 12Older adult with fever, productive cough and pleuritic chest painInternal Medicine · Introductory · 5 minNew
- 13Young woman with known airway disease unable to complete sentences during an attackEmergency Medicine · Intermediate · 5 minNew
- 14Pregnant woman collapses with sudden breathlessness and hypoxia after long-haul travelObstetrics & Gynaecology · Advanced · 5 minNew
- 15Young adult with recurrent lung infections, poor growth and greasy stools since childhoodPaediatrics · Intermediate · 5 minNew
- 16Recent immigrant with chronic cough, night sweats and unintentional weight lossInfectious Disease · Intermediate · 5 minNew
- 17Sudden severe epigastric pain with a rigid abdomenSurgery · Intermediate · 5 minNew
- 18A young adult with tremor, abnormal liver function and personality changesNeurology · Advanced · 5 minNew
- 19Painful vesicular rash in a band-like distribution on one side of the trunkDermatology · Introductory · 5 minNew
- 20A university student hears voices commenting on his actionsPsychiatry · Intermediate · 5 minNew
- 21Episodic chest tightness on exertion that eases with restCardiology · Introductory · 5 minNew
- 22Post-stroke patient develops fever and cough after a coughing fit while eatingInternal Medicine · Intermediate · 5 minNew
- 23Trauma patient suddenly deteriorates with distended neck veins and tracheal shiftEmergency Medicine · Advanced · 5 minNew
- 24Lower abdominal pain, fever and vaginal discharge in a sexually active young womanObstetrics & Gynaecology · Intermediate · 5 minNew
- 25Toddler with sudden choking episode followed by persistent unilateral wheezePaediatrics · Intermediate · 5 minNew
- 26Person who injects drugs with fever, foul-smelling sputum and a cavitating lung lesionInfectious Disease · Intermediate · 5 minNew
- 27An elderly smoker with progressive difficulty swallowing solid food and weight lossSurgery · Intermediate · 5 minNew
- 28Headache, fever and new focal seizures in a patient with advanced HIVNeurology · Advanced · 5 minNew
- 29Sharply demarcated, raised facial erythema with fever in an older adultDermatology · Introductory · 5 minNew
- 30Three days of no sleep, racing thoughts and reckless spendingPsychiatry · Intermediate · 5 minNew
- 31Sudden tearing interscapular pain with asymmetric arm pulsesCardiology · Advanced · 5 minNew
- 32Long-term smoker with worsening breathlessness and increased sputum purulenceInternal Medicine · Introductory · 5 minNew
- 33Tall, thin young man with sudden-onset unilateral pleuritic chest painEmergency Medicine · Introductory · 5 minNew
- 34Woman with abdominal pain and a positive pregnancy testObstetrics & Gynaecology · Intermediate · 5 minNew
- 35Child pulled from a lake, coughing and hypoxic despite being consciousPaediatrics · Intermediate · 5 minNew
- 36Patient with advanced HIV and gradual-onset dry cough with exertional breathlessnessInfectious Disease · Advanced · 5 minNew
- 37Early fullness after small meals with weight loss and unexplained anaemia in an older manSurgery · Intermediate · 5 minNew
- 38Gradual headache, fever and confusion in a patient with untreated HIVNeurology · Advanced · 5 minNew
- 39Adult with painful skin blistering and mucosal ulceration after starting a new medicationDermatology · Advanced · 5 minNew
- 40Profound low mood with beliefs of bodily rottingPsychiatry · Advanced · 5 minNew
- 41Exertional breathlessness and blackouts with a slow-rising pulseCardiology · Intermediate · 5 minNew
- 42Persistent swinging fevers despite antibiotics with a growing pleural collectionInternal Medicine · Advanced · 5 minNew
- 43Sudden facial swelling, wheeze and collapse minutes after a wasp stingEmergency Medicine · Introductory · 5 minNew
- 44Woman with vaginal bleeding and cramping in early pregnancyObstetrics & Gynaecology · Introductory · 5 minNew
- 45Infant with blue-grey lips and low measured oxygen despite appearing otherwise well after a topical gelPaediatrics · Advanced · 5 minNew
- 46Sudden-onset fever, severe myalgia and dry cough during winter monthsInfectious Disease · Introductory · 5 minNew
- 47Colicky abdominal pain and vomiting in an elderly woman with a history of gallstonesSurgery · Advanced · 5 minNew
- 48New focal weakness and seizure in a patient with advanced HIVNeurology · Advanced · 5 minNew
- 49Adult with extensive skin sloughing and mucosal involvement after antibiotic useDermatology · Advanced · 5 minNew
- 50Tremor, hallucinations and confusion three days after hospital admissionPsychiatry · Advanced · 5 minNew
- 51Progressive breathlessness with palpitations and a pansystolic murmurCardiology · Intermediate · 5 minNew
- 52Critically ill patient develops rapidly progressive bilateral infiltrates and refractory hypoxiaInternal Medicine · Advanced · 5 minNew
- 53Older woman with fever, confusion and hypotension following urinary symptomsEmergency Medicine · Intermediate · 5 minNew
- 54Pregnant woman with intractable vomiting and weight lossObstetrics & Gynaecology · Introductory · 5 minNew
- 55A child with frothy urine and generalised body swellingPaediatrics · Intermediate · 5 minNew
- 56Adult with fever, loss of smell and bilateral peripheral ground-glass changes on CTInfectious Disease · Intermediate · 5 minNew
- 57Change in bowel habit, weight loss and unexplained anaemia in an older adultSurgery · Intermediate · 5 minNew
- 58Agitation and difficulty swallowing water weeks after an animal bite abroadNeurology · Advanced · 5 minNew
- 59Middle-aged adult with painful mouth ulcers and flaccid skin blistersDermatology · Advanced · 5 minNew
- 60Significant weight loss and fear of weight gain in a teenage girlPsychiatry · Intermediate · 5 minNew
- 61Persistent fever with a new heart murmur and splinter haemorrhagesCardiology · Advanced · 5 minNew
- 62Heavy smoker with persistent cough, haemoptysis and unintentional weight lossInternal Medicine · Intermediate · 5 minNew
- 63Whole family found drowsy and confused at home with a headache during winterEmergency Medicine · Intermediate · 5 minNew
- 64Cola-coloured urine and facial puffiness in a child a couple of weeks after a sore throatPaediatrics · Intermediate · 5 minNew
- 65Profuse watery diarrhoea developing after a course of antibiotics in hospitalInfectious Disease · Intermediate · 5 minNew
- 66Fever and left iliac fossa pain with a change in bowel habit in an older adultSurgery · Introductory · 5 minNew
- 67Sudden weakness down one side in a man with atrial fibrillationNeurology · Introductory · 5 minNew
- 68Older adult with itchy, tense blisters on the limbs and trunkDermatology · Intermediate · 5 minNew
- 69New mother with persistent low mood several weeks after deliveryPsychiatry · Introductory · 5 minNew
- 70Sharp chest pain worse lying flat and relieved by sitting forwardCardiology · Introductory · 5 minNew
- 71Retired shipyard worker with progressive breathlessness and pleural thickeningInternal Medicine · Advanced · 5 minNew
- 72Young adult found unresponsive with pinpoint pupils and very slow breathingEmergency Medicine · Introductory · 5 minNew
- 73Pregnant woman with sudden seizure activityObstetrics & Gynaecology · Advanced · 5 minNew
- 74Progressive fatigue and pallor in a barefoot child from a rural farming communityPaediatrics · Introductory · 5 minNew
- 75Cyclical fevers and rigors two weeks after returning from sub-Saharan AfricaInfectious Disease · Intermediate · 5 minNew
- 76Rapidly spreading limb pain out of proportion to visible skin changesSurgery · Advanced · 5 minNew
- 77Pure motor weakness of the face, arm and leg in a hypertensive manNeurology · Intermediate · 5 minNew
- 78Young adult with well-demarcated, scaly plaques on the elbows and kneesDermatology · Introductory · 5 minNew
- 79School-age child with inattention and hyperactive behaviourPsychiatry · Introductory · 5 minNew
- 80Hypotension, muffled heart sounds and distended neck veins after chest traumaCardiology · Advanced · 5 minNew
- 81Young woman with painful shin nodules, joint pain and bilateral hilar lymphadenopathyInternal Medicine · Intermediate · 5 minNew
- 82Adult with tinnitus, vomiting and rapid breathing after taking multiple tabletsEmergency Medicine · Advanced · 5 minNew
- 83Pregnant woman with epigastric pain and malaise in the third trimesterObstetrics & Gynaecology · Advanced · 5 minNew
- 84Severe sore throat with a grey pharyngeal membrane in an unvaccinated childPaediatrics · Advanced · 5 minNew
- 85Stepwise rising fever and abdominal discomfort after travel to South AsiaInfectious Disease · Intermediate · 5 minNew
- 86Sudden collapse with headache and vomiting in a hypertensive womanNeurology · Intermediate · 5 minNew
- 87Adult with a changing pigmented skin lesion on the backDermatology · Intermediate · 5 minNew
- 88Preschool child with limited eye contact and repetitive behavioursPsychiatry · Intermediate · 5 minNew
- 89Recurrent pleuritic chest pain and fever weeks after a heart attackCardiology · Intermediate · 5 minNew
- 90Older man with progressive dry cough, finger clubbing and fine bibasal cracklesInternal Medicine · Intermediate · 5 minNew
- 91Young woman presents three days after a large tablet overdose with new jaundice and confusionEmergency Medicine · Intermediate · 5 minNew
- 92Pregnant woman found to have raised blood glucose on screeningObstetrics & Gynaecology · Introductory · 5 minNew
- 93Paroxysmal coughing fits with a whoop and post-tussive vomiting in an infantPaediatrics · Intermediate · 5 minNew
- 94High fever, retro-orbital pain and rash after travel to Southeast AsiaInfectious Disease · Intermediate · 5 minNew
- 95Older adult with sudden severe left-sided abdominal pain and rigiditySurgery · Advanced · 5 minNew
- 96Older adult with a slow-growing, pearly lump on the faceDermatology · Introductory · 5 minNew
- 97Adult with persistent low mood and loss of interest in activitiesPsychiatry · Introductory · 5 minNew
- 98Irregularly irregular palpitations in an elderly woman with breathlessnessCardiology · Introductory · 5 minNew
- 99Pigeon fancier with recurrent flu-like episodes and breathlessness hours after exposureInternal Medicine · Intermediate · 5 minNew
- 100Farm worker with excessive salivation, sweating and pinpoint pupils after pesticide exposureEmergency Medicine · Advanced · 5 minNew
- 101Pregnant woman with intense itching but no rashObstetrics & Gynaecology · Intermediate · 5 minNew
- 102Fever, cough, conjunctivitis and a spreading rash in an unvaccinated childPaediatrics · Introductory · 5 minNew
- 103Fever, muscle pain and jaundice after wading through floodwaterInfectious Disease · Intermediate · 5 minNew
- 104Adult with colicky abdominal pain, distension and vomiting after previous surgerySurgery · Intermediate · 5 minNew
- 105Gradual confusion in an elderly man weeks after a fallNeurology · Intermediate · 5 minNew
- 106Older adult with painful unilateral vesicular rashDermatology · Introductory · 5 minNew
- 107Young adult with episodes of elevated mood alternating with depressionPsychiatry · Intermediate · 5 minNew
- 108Sudden-onset regular fast palpitations in a young womanCardiology · Introductory · 5 minNew
- 109Middle-aged woman with chronic daily purulent sputum and recurrent chest infectionsInternal Medicine · Intermediate · 5 minNew
- 110Marathon runner collapses on a hot day with confusion and very high temperatureEmergency Medicine · Intermediate · 5 minNew
- 111Pregnant woman with painless vaginal bleeding in the third trimesterObstetrics & Gynaecology · Intermediate · 5 minNew
- 112Bilateral tender parotid swelling and fever in an unvaccinated adolescentPaediatrics · Introductory · 5 minNew
- 113Painless terminal haematuria after freshwater swimming in AfricaInfectious Disease · Intermediate · 5 minNew
- 114Man with a painful, irreducible groin lump and vomitingSurgery · Intermediate · 5 minNew
- 115Lucid interval followed by rapid decline after a head injuryNeurology · Intermediate · 5 minNew
- 116Young child with honey-coloured crusted facial soresDermatology · Introductory · 5 minNew
- 117Young man brought in by family after weeks of bizarre beliefs and hearing voicesPsychiatry · Intermediate · 5 minNew
- 118Sudden collapse with a broad complex tachycardia on the monitorCardiology · Advanced · 5 minNew
- 119Obese man with loud snoring, witnessed apnoeas and excessive daytime sleepinessInternal Medicine · Introductory · 5 minNew
- 120Homeless man found confused and shivering after a night outdoors in freezing temperaturesEmergency Medicine · Intermediate · 5 minNew
- 121Pregnant woman with sudden painful vaginal bleeding and a tense uterusObstetrics & Gynaecology · Advanced · 5 minNew
- 122Itchy vesicular rash in crops with fever in a young unvaccinated childPaediatrics · Introductory · 5 minNew
- 123Fever and right upper quadrant pain not responding to antimalarialsInfectious Disease · Intermediate · 5 minNew
- 124Elderly nursing home resident with gross abdominal distension and absent bowel motionsSurgery · Advanced · 5 minNew
- 125Transient one-sided weakness that resolves completely within an hourNeurology · Introductory · 5 minNew
- 126Adult with a painful, fluctuant swelling on the skinDermatology · Introductory · 5 minNew
- 127Persistent excessive worry about everyday matters for over six monthsPsychiatry · Introductory · 5 minNew
- 128Profound bradycardia with intermittent cannon waves and collapseCardiology · Advanced · 5 minNew
- 129Critically ill patient with persistent hypotension despite adequate fluid resuscitationInternal Medicine · Advanced · 5 minNew
- 130Adult with reduced consciousness, dilated pupils and a widened QRS after a tablet overdoseEmergency Medicine · Advanced · 5 minNew
- 131Woman with heavy bleeding shortly after vaginal deliveryObstetrics & Gynaecology · Intermediate · 5 minNew
- 132Migratory joint pains and new heart murmur weeks after an untreated sore throatPaediatrics · Advanced · 5 minNew
- 133Chronic fever, weight loss and massive splenomegaly after time in the MediterraneanInfectious Disease · Advanced · 5 minNew
- 134Older adult with severe abdominal pain disproportionate to examination findingsSurgery · Advanced · 5 minNew
- 135Burning pain on one side of the body months after a strokeNeurology · Advanced · 5 minNew
- 136Adult with intense itching worse at night and interdigital burrowsDermatology · Introductory · 5 minNew
- 137Recurrent sudden episodes of intense fear with palpitations and chest tightnessPsychiatry · Intermediate · 5 minNew
- 138Exertional syncope in a teenager with a family history of sudden deathCardiology · Advanced · 5 minNew
- 139Known diabetic with vomiting, abdominal pain and unusually deep, rapid breathingInternal Medicine · Introductory · 5 minNew
- 140Sudden vomiting of large volumes of fresh blood in a patient with known liver diseaseEmergency Medicine · Advanced · 5 minNew
- 141Labouring woman with fever and offensive amniotic fluidObstetrics & Gynaecology · Intermediate · 5 minNew
- 142Fever, sore throat and a fine sandpaper-textured rash in a young childPaediatrics · Introductory · 5 minNew
- 143Recurrent fevers and enlarged posterior cervical lymph nodes after time in rural sub-Saharan AfricaInfectious Disease · Advanced · 5 minNew
- 144Adult with persistent right upper quadrant pain and fever after fatty foodSurgery · Introductory · 5 minNew
- 145Recurrent headaches preceded by zigzag visual disturbanceNeurology · Introductory · 5 minNew
- 146Itchy, ring-shaped rash with a raised, scaly border on the trunkDermatology · Introductory · 5 minNew
- 147Recurrent nightmares and flashbacks months after a serious accidentPsychiatry · Intermediate · 5 minNew
- 148Nocturnal collapse in a young man with a family history of unexplained sudden deathCardiology · Advanced · 5 minNew
- 149Trekker develops breathlessness, cough and pink frothy sputum after rapid ascentInternal Medicine · Advanced · 5 minNew
- 150Blood-streaked vomit after a bout of forceful retchingEmergency Medicine · Introductory · 5 minNew
- 151Woman with fever and abdominal pain several days after deliveryObstetrics & Gynaecology · Intermediate · 5 minNew
- 152Localised limb bone pain, fever and reluctance to bear weight in a childPaediatrics · Intermediate · 5 minNew
- 153Progressive limb swelling with recurrent fevers in a long-term tropical residentInfectious Disease · Intermediate · 5 minNew
- 154Adolescent boy with sudden severe unilateral testicular painSurgery · Introductory · 5 minNew
- 155Excruciating one-sided eye pain waking a man at the same time each nightNeurology · Intermediate · 5 minNew
- 156Child with a scaly, patchy area of hair loss on the scalpDermatology · Introductory · 5 minNew
- 157Adult with distressing intrusive thoughts and repetitive checking behavioursPsychiatry · Intermediate · 5 minNew
- 158Recurrent palpitations in a young adult with a slurred ECG upstrokeCardiology · Intermediate · 5 minNew
- 159Years of burning chest discomfort worse after meals and on lying flatInternal Medicine · Introductory · 5 minNew
- 160Sudden severe epigastric pain radiating to the back with persistent vomitingEmergency Medicine · Intermediate · 5 minNew
- 161Labouring woman with sudden collapse and breathlessnessObstetrics & Gynaecology · Advanced · 5 minNew
- 162Brief episodes of blank staring noticed by a schoolteacherPaediatrics · Intermediate · 5 minNew
- 163Flu-like illness with rash and lymphadenopathy weeks after a new sexual partnerInfectious Disease · Intermediate · 5 minNew
- 164Young man with gradual onset scrotal pain, swelling and dysuriaSurgery · Introductory · 5 minNew
- 165Brief electric shock-like facial pain triggered by brushing teethNeurology · Intermediate · 5 minNew
- 166Thickened, discoloured toenail that has slowly worsened over monthsDermatology · Introductory · 5 minNew
- 167Adult with tremor and agitation after stopping drinkingPsychiatry · Intermediate · 5 minNew
- 168Breathlessness and a jerky pulse in a young man with a family history of sudden deathCardiology · Advanced · 5 minNew
- 169Gradually worsening difficulty swallowing both solids and liquids with regurgitation of undigested foodInternal Medicine · Intermediate · 5 minNew
- 170Fever, right upper quadrant pain and jaundice together in an elderly patientEmergency Medicine · Intermediate · 5 minNew
- 171Woman with fatigue and palpitations months after childbirthObstetrics & Gynaecology · Intermediate · 5 minNew
- 172A wheezy, coughing infant during winter months who is feeding poorlyPaediatrics · Introductory · 5 minNew
- 173Mild rash and posterior cervical lymphadenopathy in a young adult, with a pregnant contactInfectious Disease · Introductory · 5 minNew
- 174Older man with inability to pass urine and suprapubic discomfortSurgery · Introductory · 5 minNew
- 175New severe headache and scalp tenderness in an elderly womanNeurology · Intermediate · 5 minNew
- 176Infant with dry, itchy patches in the skin creasesDermatology · Introductory · 5 minNew
- 177Adult with confusion, tremor and hallucinations after stopping alcoholPsychiatry · Advanced · 5 minNew
- 178Progressive breathlessness and ankle swelling with a globally dilated heartCardiology · Intermediate · 5 minNew
- 179A young woman with chronic bloating, diarrhoea, weight loss and iron-deficiency anaemiaInternal Medicine · Intermediate · 5 minNew
- 180Sudden crampy left-sided abdominal pain followed by bloody diarrhoea in an elderly patient with vascular diseaseEmergency Medicine · Intermediate · 5 minNew
- 181Young woman with sudden severe unilateral pelvic painObstetrics & Gynaecology · Intermediate · 5 minNew
- 182Prolonged fever, severe sore throat and fatigue in a university studentInfectious Disease · Introductory · 5 minNew
- 183Older man with urinary symptoms, back pain and weight lossSurgery · Intermediate · 5 minNew
- 184Daily headaches and blurred vision in an obese young womanNeurology · Intermediate · 5 minNew
- 185Adult with an itchy, red rash after using a new productDermatology · Introductory · 5 minNew
- 186Adult with agitation, muscle aches and dilated pupils after stopping opioid usePsychiatry · Intermediate · 5 minNew
- 187Sudden chest pain after severe emotional distress mimicking a heart attackCardiology · Intermediate · 5 minNew
- 188Recurrent crampy right-sided abdominal pain, diarrhoea and mouth ulcers in a young adultInternal Medicine · Intermediate · 5 minNew
- 189Sudden severe loin-to-groin pain with restlessness and an inability to lie stillEmergency Medicine · Introductory · 5 minNew
- 190Woman with sudden sharp pelvic pain mid-cycleObstetrics & Gynaecology · Introductory · 5 minNew
- 191A febrile child sitting forward drooling saliva and refusing to swallowPaediatrics · Advanced · 5 minNew
- 192Expanding red rash and flu-like symptoms after a countryside walkInfectious Disease · Introductory · 5 minNew
- 193Older adult smoker with painless visible blood in the urineSurgery · Intermediate · 5 minNew
- 194Headache, fever and focal weakness in a man with chronic ear infectionsNeurology · Advanced · 5 minNew
- 195Adult with sudden itchy raised wheals after a mealDermatology · Introductory · 5 minNew
- 196Adult with persistent multiple physical complaints and high health anxietyPsychiatry · Advanced · 5 minNew
- 197Chest pain and heart failure symptoms following a recent viral illnessCardiology · Intermediate · 5 minNew
- 198Relapsing bouts of bloody diarrhoea with tenesmus and urgencyInternal Medicine · Intermediate · 5 minNew
- 199Fever, flank pain and urinary symptoms in an elderly womanEmergency Medicine · Introductory · 5 minNew
- 200Young woman with lower abdominal pain and vaginal dischargeObstetrics & Gynaecology · Intermediate · 5 minNew
- 201A young infant with prolonged bouts of coughing followed by a whooping sound and vomitingPaediatrics · Intermediate · 5 minNew
- 202Recurrent undulating fevers and joint pain after consuming unpasteurised dairy abroadInfectious Disease · Intermediate · 5 minNew
- 203Middle-aged woman with a new painless breast lumpSurgery · Introductory · 5 minNew
- 204Progressive personality change and headache worse in the morningsNeurology · Intermediate · 5 minNew
- 205Adult with widespread rash, fever and facial swelling weeks after starting a new medicationDermatology · Advanced · 5 minNew
- 206Adolescent presenting after intentionally injuring themselves during emotional distressPsychiatry · Intermediate · 5 minNew
- 207Acute severe breathlessness with frothy pink sputum and widespread cracklesCardiology · Introductory · 5 minNew
- 208Recurrent epigastric pain with greasy, foul-smelling stools and weight loss in a long-term heavy drinkerInternal Medicine · Intermediate · 5 minNew
- 209Dark urine and severe muscle pain after being found collapsed and immobile for a prolonged periodEmergency Medicine · Intermediate · 5 minNew
- 210Woman with chronic cyclical pelvic pain and painful periodsObstetrics & Gynaecology · Intermediate · 5 minNew
- 211A toddler with recurrent episodes of wheeze only during coldsPaediatrics · Introductory · 5 minNew
- 212A painless genital ulcer followed weeks later by a rash on the palms and solesInfectious Disease · Intermediate · 5 minNew
- 213Breastfeeding woman with a painful, red, swollen breast and feverSurgery · Introductory · 5 minNew
- 214New seizure in a woman with a history of breast cancerNeurology · Intermediate · 5 minNew
- 215Older adult with a growing, crusted skin lesion on a sun-exposed areaDermatology · Intermediate · 5 minNew
- 216Young adult with episodes of mood disturbance alongside persistent psychotic symptomsPsychiatry · Advanced · 5 minNew
- 217Longstanding lung disease with new leg swelling and a raised neck vein pressureCardiology · Intermediate · 5 minNew
- 218Persistent itching and fatigue in a middle-aged woman with abnormal liver blood testsInternal Medicine · Intermediate · 5 minNew
- 219Progressive jaw stiffness and muscle spasms after a contaminated woundEmergency Medicine · Advanced · 5 minNew
- 220Woman with heavy periods and a palpable abdominal massObstetrics & Gynaecology · Introductory · 5 minNew
- 221A feverish toddler with a productive cough and reduced air entry on one side of the chestPaediatrics · Introductory · 5 minNew
- 222Dysuria and purulent urethral discharge days after a new sexual partnerInfectious Disease · Introductory · 5 minNew
- 223Middle-aged woman with a painless lump in the neck moving on swallowingSurgery · Intermediate · 5 minNew
- 224Recurrent episodes of visual loss and limb sensory disturbance in a young womanNeurology · Intermediate · 5 minNew
- 225Adolescent with facial spots, blackheads and occasional painful lumpsDermatology · Introductory · 5 minNew
- 226Adult with long-standing low mood and reduced enjoyment persisting for yearsPsychiatry · Intermediate · 5 minNew
- 227Fever, jaundice and a tender enlarged liver in a heavy drinker after a recent bingeInternal Medicine · Intermediate · 5 minNew
- 228Spreading warm, tender erythema of the lower leg with feverEmergency Medicine · Introductory · 5 minNew
- 229Young woman with irregular periods, acne and excess hair growthObstetrics & Gynaecology · Introductory · 5 minNew
- 230An infant with episodes of drawing up the legs in pain and redcurrant jelly stoolPaediatrics · Intermediate · 5 minNew
- 231Fever, neck stiffness and photophobia in a young adultInfectious Disease · Introductory · 5 minNew
- 232Trauma patient with severe chest pain, breathlessness and shock after a fallSurgery · Advanced · 5 minNew
- 233Ascending limb weakness a fortnight after a diarrhoeal illnessNeurology · Intermediate · 5 minNew
- 234Young adult with progressive well-demarcated patches of skin depigmentationDermatology · Introductory · 5 minNew
- 235New mother with sudden confusion, agitation and unusual beliefs after deliveryPsychiatry · Advanced · 5 minNew
- 236Cramping calf pain on walking that eases with restCardiology · Introductory · 5 minNew
- 237New confusion and a flapping tremor in a patient with known cirrhosisInternal Medicine · Intermediate · 5 minNew
- 238Sudden hot, swollen, exquisitely painful single joint with feverEmergency Medicine · Intermediate · 5 minNew
- 239Postmenopausal woman with new vaginal bleedingObstetrics & Gynaecology · Intermediate · 5 minNew
- 240A three-week-old boy with forceful projectile vomiting after every feed but remaining hungryPaediatrics · Introductory · 5 minNew
- 241Fever with confusion and bizarre behaviour over two daysInfectious Disease · Intermediate · 5 minNew
- 242Road traffic collision victim with paradoxical chest wall movementSurgery · Advanced · 5 minNew
- 243Drooping eyelids and double vision worsening through the dayNeurology · Intermediate · 5 minNew
- 244Young adult with a raised, itchy scar extending beyond the original wound marginsDermatology · Introductory · 5 minNew
- 245Young adult with intense fear of being judged in social situationsPsychiatry · Introductory · 5 minNew
- 246Sudden onset of a painful, pale, pulseless legCardiology · Advanced · 5 minNew
- 247Fever and abdominal pain in a patient with known cirrhosis and ascitesInternal Medicine · Advanced · 5 minNew
- 248Profuse watery diarrhoea and severe dehydration during a regional outbreakEmergency Medicine · Intermediate · 5 minNew
- 249Woman with postcoital bleeding and abnormal dischargeObstetrics & Gynaecology · Intermediate · 5 minNew
- 250A newborn who has not passed meconium within 48 hours and has a distended abdomenPaediatrics · Intermediate · 5 minNew
- 251Young man with left upper quadrant pain and shoulder tip pain after cycling accidentSurgery · Advanced · 5 minNew
- 252Proximal limb weakness that improves with repeated exercise in a smokerNeurology · Advanced · 5 minNew
- 253Older adult with diabetes presenting with a non-healing wound on the footDermatology · Intermediate · 5 minNew
- 254Child with intense, irrational fear of a specific object triggering avoidancePsychiatry · Introductory · 5 minNew
- 255Sudden collapse with severe abdominal pain and a pulsatile abdominal massCardiology · Advanced · 5 minNew
- 256A new liver mass with worsening weight loss in a patient with chronic liver diseaseInternal Medicine · Advanced · 5 minNew
- 257Continuous convulsive seizure activity for over 20 minutesEmergency Medicine · Advanced · 5 minNew
- 258Older woman with bloating and early satietyObstetrics & Gynaecology · Advanced · 5 minNew
- 259A premature neonate who develops feed intolerance, abdominal distension and bloody stoolsPaediatrics · Advanced · 5 minNew
- 260Young adult with fatigue, nausea and yellowing of the eyesInfectious Disease · Intermediate · 5 minNew
- 261Patient with severe leg pain out of proportion after tibial fractureSurgery · Advanced · 5 minNew
- 262Progressive limb weakness with muscle twitching and slurred speechNeurology · Advanced · 5 minNew
- 263Bedbound older adult with a non-healing skin breakdown over a bony prominenceDermatology · Introductory · 5 minNew
- 264Adult with low mood and anxiety following a recent major life stressorPsychiatry · Introductory · 5 minNew
- 265Unilateral leg swelling and calf tenderness after a long flightCardiology · Introductory · 5 minNew
- 266Fatigue, joint pains and bronze-coloured skin in a middle-aged man with new diabetesInternal Medicine · Intermediate · 5 minNew
- 267Agitation, tremor and hyperreflexia after combining antidepressantsEmergency Medicine · Advanced · 5 minNew
- 268Woman with fishy-smelling vaginal dischargeObstetrics & Gynaecology · Introductory · 5 minNew
- 269A newborn who becomes visibly jaundiced within the first 24 hours of life and appears palePaediatrics · Intermediate · 5 minNew
- 270Adult with fatigue and jaundice following a needlestick exposureInfectious Disease · Intermediate · 5 minNew
- 271Older woman unable to weight-bear after a fall with a shortened, externally rotated legSurgery · Introductory · 5 minNew
- 272Resting tremor and slowness of movement in a retired teacherNeurology · Introductory · 5 minNew
- 273Adult with greasy, scaly patches on the scalp and faceDermatology · Introductory · 5 minNew
- 274Adult with dazed behaviour and agitation immediately after a traumatic eventPsychiatry · Introductory · 5 minNew
- 275Chronic shallow ulcer above the ankle with surrounding skin discolourationCardiology · Introductory · 5 minNew
- 276Recurrent abdominal pain and altered bowel habit in a young woman with no alarm featuresInternal Medicine · Introductory · 5 minNew
- 277Rigidity, fever and confusion days after starting an antipsychoticEmergency Medicine · Advanced · 5 minNew
- 278Woman with vulval itching and thick white dischargeObstetrics & Gynaecology · Introductory · 5 minNew
- 279An infant with persistent jaundice beyond two weeks, pale stools and dark urinePaediatrics · Intermediate · 5 minNew
- 280Adult with incidental abnormal liver function tests and a history of injecting drug useInfectious Disease · Intermediate · 5 minNew
- 281Young adult with wrist pain after falling onto an outstretched handSurgery · Intermediate · 5 minNew
- 282Frequent unexplained falls with difficulty looking downwardNeurology · Advanced · 5 minNew
- 283Middle-aged adult with persistent facial redness and visible small blood vesselsDermatology · Introductory · 5 minNew
- 284Young adult with a long history of rule-breaking, deceit and lack of remorsePsychiatry · Intermediate · 5 minNew
- 285Reduced urine output and rising blood tests after major surgery in an elderly patientInternal Medicine · Intermediate · 5 minNew
- 286A feverish child with a spreading non-blanching rash and rapid deteriorationEmergency Medicine · Advanced · 5 minNew
- 287Middle-aged woman with hot flushes and irregular periodsObstetrics & Gynaecology · Introductory · 5 minNew
- 288A newborn with ambiguous genitalia who later develops vomiting, poor feeding and collapsePaediatrics · Advanced · 5 minNew
- 289Traveller with cyclical fevers and rigors after returning from abroadInfectious Disease · Intermediate · 5 minNew
- 290Middle-aged man with sudden calf pain and inability to push off the foot during sportSurgery · Intermediate · 5 minNew
- 291Progressive involuntary jerky movements and personality change in a young adultNeurology · Advanced · 5 minNew
- 292Adult with intensely itchy, purple, flat-topped bumps on the wristsDermatology · Intermediate · 5 minNew
- 293Adult with recurrent episodes of uncontrolled overeating and distress but no compensatory behavioursPsychiatry · Intermediate · 5 minNew
- 294Infant with weak femoral pulses and a blood pressure difference between arms and legsCardiology · Intermediate · 5 minNew
- 295Visible blood in the urine appearing within a day or two of a cold or sore throatInternal Medicine · Intermediate · 5 minNew
- 296Young woman with absent periods and menopausal symptomsObstetrics & Gynaecology · Intermediate · 5 minNew
- 297A newborn in the first days of life with temperature instability, poor feeding and lethargyPaediatrics · Advanced · 5 minNew
- 298Traveller returns from West Africa with fever and reduced consciousnessInfectious Disease · Advanced · 5 minNew
- 299Older adult with rapid distortion and central loss of vision in one eyeSurgery · Intermediate · 5 minNew
- 300Confusion, ataxia and abnormal eye movements in a man with heavy alcohol useNeurology · Intermediate · 5 minNew
- 301Traveller with a slowly enlarging, painless skin ulcer after insect bites abroadDermatology · Advanced · 5 minNew
- 302Young woman with unstable relationships, impulsivity and recurrent self-harmPsychiatry · Intermediate · 5 minNew
- 303Continuous machinery murmur in a preterm infant with poor weight gainCardiology · Intermediate · 5 minNew
- 304Chronic flank discomfort and hypertension in a young adult with a family history of kidney problemsInternal Medicine · Intermediate · 5 minNew
- 305Adult with painful skin blistering after a kitchen accidentEmergency Medicine · Introductory · 5 minNew
- 306Woman of reproductive age with sudden severe pelvic pain and collapseObstetrics & Gynaecology · Advanced · 5 minNew
- 307A term newborn delivered by caesarean section with fast breathing that settles within two daysPaediatrics · Introductory · 5 minNew
- 308Chronic cough, night sweats, and weight loss over several monthsInfectious Disease · Intermediate · 5 minNew
- 309Middle-aged man with sudden flashes, floaters and a curtain over his visionSurgery · Intermediate · 5 minNew
- 310Sudden facial droop affecting the whole side of the face including the foreheadNeurology · Introductory · 5 minNew
- 311Adult with an intensely itchy, blistering rash on the elbows and kneesDermatology · Intermediate · 5 minNew
- 312Young man with hallucinations and paranoia after heavy recreational drug usePsychiatry · Intermediate · 5 minNew
- 313Recurrent chest infections and a fixed splitting of the heart sounds in a childCardiology · Intermediate · 5 minNew
- 314Generalised muscle weakness and abnormal heart tracing in a patient with kidney failure who missed dialysisInternal Medicine · Advanced · 5 minNew
- 315Older woman with sudden severe eye pain, halos around lights and vomitingEmergency Medicine · Intermediate · 5 minNew
- 316Pregnant woman with an abnormal glucose tolerance testObstetrics & Gynaecology · Introductory · 5 minNew
- 317A preterm neonate with grunting, nasal flaring and worsening respiratory distress shortly after birthPaediatrics · Advanced · 5 minNew
- 318Chronic back pain and weight loss with a spinal deformityInfectious Disease · Advanced · 5 minNew
- 319Young adult with a painful red eye, photophobia and blurred visionSurgery · Intermediate · 5 minNew
- 320Nocturnal tingling in the thumb and first two fingersNeurology · Introductory · 5 minNew
- 321Adult with a small, firm, dimpling skin nodule on the lower legDermatology · Introductory · 5 minNew
- 322New mother with rapidly progressive confusion, agitation and delusional beliefs about her babyPsychiatry · Advanced · 5 minNew
- 323Poor weight gain and a loud murmur in an infant since birthCardiology · Intermediate · 5 minNew
- 324New confusion in an elderly smoker found to have a very low sodium levelInternal Medicine · Advanced · 5 minNew
- 325Older man with sudden painless complete loss of vision in one eyeEmergency Medicine · Advanced · 5 minNew
- 326Labouring woman with failure to progress and fetal distressObstetrics & Gynaecology · Advanced · 5 minNew
- 327A post-term neonate born through thick meconium-stained liquor with respiratory distressPaediatrics · Advanced · 5 minNew
- 328Young adult with recurrent infections and unexplained weight lossInfectious Disease · Intermediate · 5 minNew
- 329Child with a swollen, red eyelid and painful eye movements after sinusitisSurgery · Intermediate · 5 minNew
- 330New urinary retention and saddle numbness after acute back painNeurology · Intermediate · 5 minNew
- 331Adult with scaly, scarring red plaques on sun-exposed areas of the face and scalpDermatology · Intermediate · 5 minNew
- 332Young adult with paranoia, agitation and hallucinations after heavy stimulant usePsychiatry · Intermediate · 5 minNew
- 333Episodic blue spells in an infant who squats during cryingCardiology · Advanced · 5 minNew
- 334Progressive fatigue and pallor in a young woman with heavy menstrual periodsInternal Medicine · Introductory · 5 minNew
- 335Young adult with severe sore throat, trismus and a muffled voiceEmergency Medicine · Intermediate · 5 minNew
- 336Labouring woman with sudden severe abdominal pain and fetal distressObstetrics & Gynaecology · Advanced · 5 minNew
- 337A young child with five days of high fever, a widespread rash, red cracked lips and swollen handsPaediatrics · Intermediate · 5 minNew
- 338Adult with weight loss, chronic diarrhoea and oral thrushInfectious Disease · Advanced · 5 minNew
- 339Older man with worsening urinary hesitancy and nocturiaSurgery · Introductory · 5 minNew
- 340Sudden buckling of the knees when laughing, with excessive daytime sleepinessNeurology · Advanced · 5 minNew
- 341Older woman with vulval itching and pale, thinned skin around the vulvaDermatology · Intermediate · 5 minNew
- 342Adolescent with patchy hair loss and a habit of pulling at their hair when anxiousPsychiatry · Intermediate · 5 minNew
- 343Severe headache and visual disturbance with markedly elevated blood pressureCardiology · Advanced · 5 minNew
- 344Severe generalised bone pain crisis in a young adult with a known chronic haemolytic conditionInternal Medicine · Intermediate · 5 minNew
- 345Middle-aged adult with sudden hearing loss in one ear on wakingEmergency Medicine · Advanced · 5 minNew
- 346Pregnant woman at 32 weeks with regular painful contractionsObstetrics & Gynaecology · Intermediate · 5 minNew
- 347A child with a palpable purpuric rash over the legs and buttocks, joint pain and abdominal pain after a coldPaediatrics · Intermediate · 5 minNew
- 348Adult with bloody diarrhoea and abdominal cramps after travelInfectious Disease · Intermediate · 5 minNew
- 349Older man with sudden severe back pain and pulsatile abdominal massSurgery · Advanced · 5 minNew
- 350Gradual worsening memory loss over several years in a retired accountantNeurology · Introductory · 5 minNew
- 351Young woman with persistent small red bumps around the mouth after using a steroid creamDermatology · Introductory · 5 minNew
- 352Young woman with binge eating episodes followed by self-induced vomiting and dental erosionPsychiatry · Intermediate · 5 minNew
- 353Episodic headache, palpitations and sweating with paroxysmal high blood pressureCardiology · Advanced · 5 minNew
- 354Sudden widespread bruising and pinpoint red spots in an otherwise well young womanInternal Medicine · Intermediate · 5 minNew
- 355Older adult with recurrent nosebleeds on anticoagulation therapyEmergency Medicine · Introductory · 5 minNew
- 356Early pregnancy with exaggerated symptoms and a uterus larger than expectedObstetrics & Gynaecology · Advanced · 5 minNew
- 357Traveller with recurrent bloody diarrhoea and abdominal painInfectious Disease · Intermediate · 5 minNew
- 358Adolescent with worsening abdominal pain and rebound tendernessSurgery · Advanced · 5 minNew
- 359Fluctuating confusion with vivid visual hallucinations and stiffnessNeurology · Advanced · 5 minNew
- 360Adult with a rapidly enlarging, painful skin ulcer with a violaceous undermined edgeDermatology · Advanced · 5 minNew
- 361Adult with sudden leg weakness following an acute stressful event and normal neurological investigationsPsychiatry · Advanced · 5 minNew
- 362Resistant hypertension with an abdominal bruit and worsening kidney functionCardiology · Intermediate · 5 minNew
- 363Persistent back pain, recurrent infections and worsening kidney function in an older adultInternal Medicine · Advanced · 5 minNew
- 364Long-term smoker with worsening cough and increased breathlessnessEmergency Medicine · Introductory · 5 minNew
- 365Older woman with a persistent itchy vulval lesion that has not healedObstetrics & Gynaecology · Advanced · 5 minNew
- 366A pale, tired child with unexplained bruising and bone pain over several weeksPaediatrics · Advanced · 5 minNew
- 367Traveller with prolonged foul-smelling diarrhoea and bloatingInfectious Disease · Intermediate · 5 minNew
- 368Older adult with abdominal distension, absolute constipation and vomitingSurgery · Intermediate · 5 minNew
- 369Older adult with brief spinning sensations triggered by turning over in bedNeurology · Introductory · 5 minNew
- 370Adult with recurrent itchy hives most days for over six weeks without an identified triggerDermatology · Intermediate · 5 minNew
- 371Adult with recurrent hospital admissions and inconsistent symptoms suggestive of fabricated illnessPsychiatry · Advanced · 5 minNew
- 372Intermittent murmur and dizziness that changes with body positionCardiology · Advanced · 5 minNew
- 373Progressive back pain, fever and spinal deformity over several monthsInternal Medicine · Advanced · 5 minNew
- 374Young adult with sudden pleuritic chest pain and breathlessnessEmergency Medicine · Intermediate · 5 minNew
- 375Woman with pelvic pain persisting for over six monthsObstetrics & Gynaecology · Intermediate · 5 minNew
- 376A young child found to have a painless abdominal mass that does not cross the midlinePaediatrics · Intermediate · 5 minNew
- 377Child from an endemic region with abdominal discomfort and passing worms in stoolInfectious Disease · Intermediate · 5 minNew
- 378Sudden severe epigastric pain with a rigid abdomenSurgery · Advanced · 5 minNew
- 379Middle-aged adult with recurrent vertigo, tinnitus and fluctuating hearing lossNeurology · Intermediate · 5 minNew
- 380Adult with rapid-onset itchy swelling of the hands after handling latex glovesDermatology · Introductory · 5 minNew
- 381Middle-aged man with a fixed, isolated false belief but otherwise normal functioningPsychiatry · Advanced · 5 minNew
- 382Raised neck vein pressure that rises further on inspiration, with ascitesCardiology · Advanced · 5 minNew
- 383A non-healing, foul-smelling foot ulcer with surrounding redness in a person with diabetesInternal Medicine · Intermediate · 5 minNew
- 384Adolescent with known blood disorder presenting with severe bone painEmergency Medicine · Intermediate · 5 minNew
- 385Young woman with intermittent post-coital spottingObstetrics & Gynaecology · Introductory · 5 minNew
- 386A toddler with an abdominal mass that crosses the midline, weight loss and periorbital bruisingPaediatrics · Advanced · 5 minNew
- 387Traveller returning from West Africa with fever, sore throat and bleeding gumsInfectious Disease · Advanced · 5 minNew
- 388Episodic right upper quadrant pain after fatty mealsSurgery · Introductory · 5 minNew
- 389Adult with fever, confusion and new-onset seizureNeurology · Advanced · 5 minNew
- 390Adult with target-shaped skin lesions on the hands after a cold sore outbreakDermatology · Intermediate · 5 minNew
- 391Nausea, visual disturbance and an irregular pulse in a patient on long-term heart medicationCardiology · Intermediate · 5 minNew
- 392Sudden jaundice, nausea and dark urine after a local outbreak linked to shellfishInternal Medicine · Introductory · 5 minNew
- 393Known sickle cell patient with fever, chest pain and breathlessnessEmergency Medicine · Advanced · 5 minNew
- 394Woman with an abnormal cervical screening resultObstetrics & Gynaecology · Intermediate · 5 minNew
- 395A previously well child with sudden puffiness around the eyes and frothy urinePaediatrics · Intermediate · 5 minNew
- 396Returning traveller from an outbreak region with fever, vomiting and unexplained bleedingInfectious Disease · Advanced · 5 minNew
- 397Fever, jaundice, and right upper quadrant pain in a patient with gallstonesSurgery · Advanced · 5 minNew
- 398Older adult with sudden severe headache and hemiparesisNeurology · Advanced · 5 minNew
- 399Young woman with tender red nodules on both shins and joint achesDermatology · Intermediate · 5 minNew
- 400Adult with months of difficulty falling asleep causing daytime impairmentPsychiatry · Introductory · 5 minNew
- 401Elderly man with acute breathlessness, orthopnoea and pink frothy sputumCardiology · Introductory · 5 minNew
- 402Acute fluctuating confusion in an elderly man following surgeryInternal Medicine · Introductory · 5 minNew
- 403Septic patient develops widespread bruising and oozing from cannula sitesEmergency Medicine · Advanced · 5 minNew
- 404Perimenopausal woman with heavy and irregular periodsObstetrics & Gynaecology · Intermediate · 5 minNew
- 405A child with cola-coloured urine and facial swelling two weeks after a sore throatPaediatrics · Intermediate · 5 minNew
- 406Traveller returning from the tropics with high fever, rash and worsening abdominal painInfectious Disease · Advanced · 5 minNew
- 407Painful, irreducible groin lump that has suddenly worsenedSurgery · Intermediate · 5 minNew
- 408Adolescent with recurrent episodes of loss of awareness and jerking movementsNeurology · Intermediate · 5 minNew
- 409Adult with multiple small itchy pustules around hair follicles after shavingDermatology · Introductory · 5 minNew
- 410Child with repeated distressing dreams causing nighttime awakeningsPsychiatry · Introductory · 5 minNew
- 411Young woman with progressive exertional breathlessness and a loud second heart soundCardiology · Advanced · 5 minNew
- 412Known adrenal insufficiency patient collapses during a chest infectionEmergency Medicine · Advanced · 5 minNew
- 413Woman with heavy, painful periods and a tender, enlarged uterusObstetrics & Gynaecology · Intermediate · 5 minNew
- 414A well toddler with a brief generalised seizure during a high fever from a viral illnessPaediatrics · Introductory · 5 minNew
- 415Traveller returning from a tropical region with fever, jaundice and bleeding gumsInfectious Disease · Advanced · 5 minNew
- 416Adult with severe pain on defecation and bright red bloodSurgery · Introductory · 5 minNew
- 417Young adult with recurrent unilateral throbbing headaches and visual disturbanceNeurology · Introductory · 5 minNew
- 418Adult with recurrent painful lumps and discharging sinuses in the armpits and groinDermatology · Intermediate · 5 minNew
- 419Child with persistent defiance, temper outbursts and argumentativenessPsychiatry · Intermediate · 5 minNew
- 420Older adult with progressive breathlessness and ankle swellingCardiology · Intermediate · 5 minNew
- 421Older adult with confusion and profound dehydrationInternal Medicine · Advanced · 5 minNew
- 422Collapse with no pulse and no breathing witnessed in the streetEmergency Medicine · Advanced · 5 minNew
- 423Woman with reduced menstrual flow and difficulty conceiving after uterine surgeryObstetrics & Gynaecology · Advanced · 5 minNew
- 424A toddler with bowed legs, delayed walking and poor growth who gets little sun exposurePaediatrics · Intermediate · 5 minNew
- 425Traveller with sudden fever and severe joint pains after mosquito exposureInfectious Disease · Intermediate · 5 minNew
- 426Adult with painless bright red bleeding after passing stoolSurgery · Introductory · 5 minNew
- 427Office worker with a tight band-like headache most afternoonsNeurology · Introductory · 5 minNew
- 428Older adult with intensely itchy, coin-shaped scaly patches on the limbs in winterDermatology · Introductory · 5 minNew
- 429Teenage boy with repeated aggressive behaviour and rule-breaking at schoolPsychiatry · Intermediate · 5 minNew
- 430Middle-aged adult with crushing central chest pain radiating to the armCardiology · Intermediate · 5 minNew
- 431Diabetic patient found sweaty and confused before breakfastInternal Medicine · Introductory · 5 minNew
- 432Trauma patient with cold, clammy skin and a rapid weak pulseEmergency Medicine · Intermediate · 5 minNew
- 433Young woman with absent periods for several months and unexplained weight changeObstetrics & Gynaecology · Intermediate · 5 minNew
- 434Traveller with mild fever, rash and conjunctivitis after mosquito exposureInfectious Disease · Intermediate · 5 minNew
- 435Adult with a rigid, silent abdomen and high feverSurgery · Advanced · 5 minNew
- 436Gradual numbness and tingling spreading up both feetNeurology · Intermediate · 5 minNew
- 437Adult with intense generalised itching worse at night and linear burrows between the fingersDermatology · Introductory · 5 minNew
- 438Child with recurrent involuntary movements and vocal soundsPsychiatry · Intermediate · 5 minNew
- 439Adult with ongoing chest pain and raised cardiac biomarkersCardiology · Intermediate · 5 minNew
- 440Woman with agitation, fever and a racing heartInternal Medicine · Advanced · 5 minNew
- 441Middle-aged adult with chest pain, hypotension and cold peripheriesEmergency Medicine · Advanced · 5 minNew
- 442Young woman with recurrent painful periods affecting daily activitiesObstetrics & Gynaecology · Introductory · 5 minNew
- 443A newborn girl born breech found to have an unstable hip on routine screeningPaediatrics · Introductory · 5 minNew
- 444Adult with fever, cough and loss of sense of smellInfectious Disease · Introductory · 5 minNew
- 445Adult with abdominal pain and bruising after a road traffic collisionSurgery · Advanced · 5 minNew
- 446Diabetic patient with numb feet and an unnoticed foot ulcerNeurology · Intermediate · 5 minNew
- 447Older adult with multiple stuck-on, warty brown lesions developing on the trunkDermatology · Introductory · 5 minNew
- 448Young child who speaks fluently at home but remains silent at schoolPsychiatry · Intermediate · 5 minNew
- 449Adult with recurrent chest tightness at rest and normal cardiac biomarkersCardiology · Intermediate · 5 minNew
- 450Older woman found unresponsive and profoundly hypothermicInternal Medicine · Advanced · 5 minNew
- 451Adult with swelling and pain after an outdoor bite injuryEmergency Medicine · Advanced · 5 minNew
- 452Adult woman with heavy, prolonged menstrual bleeding affecting daily lifeObstetrics & Gynaecology · Introductory · 5 minNew
- 453A young child with a limp and intermittent hip or groin pain without any injuryPaediatrics · Intermediate · 5 minNew
- 454Middle-aged woman with recurrent right upper quadrant pain after fatty mealsSurgery · Introductory · 5 minNew
- 455Progressive leg weakness and back pain with new bladder difficultyNeurology · Advanced · 5 minNew
- 456Young adult preoccupied with a minor perceived facial flaw affecting daily lifePsychiatry · Intermediate · 5 minNew
- 457Middle-aged man with predictable chest tightness on exertionCardiology · Introductory · 5 minNew
- 458Young woman with weight loss, tremor and bulging eyesInternal Medicine · Intermediate · 5 minNew
- 459Adult rescued from a house fire with cough and hoarse voiceEmergency Medicine · Advanced · 5 minNew
- 460Woman with recurring mood and physical symptoms in the days before her periodObstetrics & Gynaecology · Introductory · 5 minNew
- 461An overweight adolescent with a limp, hip pain and the leg falling into external rotationPaediatrics · Intermediate · 5 minNew
- 462Older woman with progressive right upper quadrant pain, weight loss and jaundiceSurgery · Advanced · 5 minNew
- 463Older adult with gradual memory decline and getting lost at homeNeurology · Intermediate · 5 minNew
- 464Teenager with a single oval patch followed by a widespread scaly rash on the trunkDermatology · Introductory · 5 minNew
- 465Man with morning shakes and cravings who has been drinking daily for yearsPsychiatry · Intermediate · 5 minNew
- 466Sharp chest pain relieved by leaning forwardCardiology · Intermediate · 5 minNew
- 467Middle-aged woman with fatigue, weight gain and cold intoleranceInternal Medicine · Introductory · 5 minNew
- 468Adult who collapses suddenly with no pulseEmergency Medicine · Advanced · 5 minNew
- 469Older woman with a sensation of vaginal fullness and a visible bulgeObstetrics & Gynaecology · Intermediate · 5 minNew
- 470An infant with recurrent fractures from minimal trauma and unusually blue-tinted eyesPaediatrics · Intermediate · 5 minNew
- 471Older adult with painless jaundice, weight loss and pale stoolsSurgery · Advanced · 5 minNew
- 472Young adult with sudden blurred vision and eye painNeurology · Advanced · 5 minNew
- 473Young adult with a rapidly growing, easily bleeding red skin lesionDermatology · Introductory · 5 minNew
- 474Young adult with escalating drug use and withdrawal symptoms affecting work and relationshipsPsychiatry · Intermediate · 5 minNew
- 475Young adult with a heart murmur and history of childhood joint painsCardiology · Advanced · 5 minNew
- 476Older woman with bone pain, kidney stones and low moodInternal Medicine · Intermediate · 5 minNew
- 477Older adult with sudden breathlessness, frothy sputum and bilateral cracklesEmergency Medicine · Intermediate · 5 minNew
- 478Older woman with a sensation of a lump coming down from the vaginaObstetrics & Gynaecology · Intermediate · 5 minNew
- 479Young adult with fever, headache and neck stiffness but no reduced consciousnessInfectious Disease · Introductory · 5 minNew
- 480Older adult with abdominal pain after eating and unintentional weight lossSurgery · Advanced · 5 minNew
- 481Adult with sudden one-sided facial weaknessNeurology · Intermediate · 5 minNew
- 482Middle-aged adult with yellowish plaques around the eyelidsDermatology · Introductory · 5 minNew
- 483Woman with episodes of feeling detached from her body and surroundings after stressPsychiatry · Advanced · 5 minNew
- 484Regular fast palpitations found on a routine ECGCardiology · Intermediate · 5 minNew
- 485Woman with central weight gain, bruising and purple stretch marksInternal Medicine · Intermediate · 5 minNew
- 486Critically unwell adult with rapidly worsening breathlessness after severe illnessEmergency Medicine · Advanced · 5 minNew
- 487Woman with urine leakage on coughing, sneezing or exerciseObstetrics & Gynaecology · Introductory · 5 minNew
- 488A young child with known sickle cell disease presenting with painful, swollen fingers and toesPaediatrics · Intermediate · 5 minNew
- 489Farmer with a painless black-eschar skin lesion and surrounding swelling after handling livestockInfectious Disease · Advanced · 5 minNew
- 490Adult with severe colitis, abdominal distension and systemic toxicitySurgery · Advanced · 5 minNew
- 491Older adult with gait difficulty, memory decline and urinary urgencyNeurology · Advanced · 5 minNew
- 492Adult with progressive patchy skin depigmentation and fatigueDermatology · Intermediate · 5 minNew
- 493New mother with brief tearfulness and mood swings in the first week after deliveryPsychiatry · Introductory · 5 minNew
- 494Young adult with sudden palpitations and a racing heartCardiology · Introductory · 5 minNew
- 495Patient with vomiting, hypotension and collapse during an infectionInternal Medicine · Advanced · 5 minNew
- 496Young adult with acute anxiety, tingling in the hands and rapid breathingEmergency Medicine · Introductory · 5 minNew
- 497Pregnant woman in the third trimester with nausea, jaundice and confusionObstetrics & Gynaecology · Advanced · 5 minNew
- 498A young boy with a waddling gait, enlarged calf muscles and difficulty getting up from the floorPaediatrics · Intermediate · 5 minNew
- 499Adult with descending paralysis, drooping eyelids and dilated pupils after eating home-preserved foodInfectious Disease · Advanced · 5 minNew
- 500Adult with recurrent discharge and discomfort near the anusSurgery · Intermediate · 5 minNew
- 501Young woman with worsening headache, visual disturbance and postpartum statusNeurology · Advanced · 5 minNew
- 502Older woman with itchy, scaly skin and swelling above the anklesDermatology · Introductory · 5 minNew
- 503Patient found mute and immobile, maintaining an unusual fixed posturePsychiatry · Advanced · 5 minNew
- 504Young athlete with exertional syncope and a systolic murmurCardiology · Advanced · 5 minNew
- 505Middle-aged man with enlarging hands, feet and jawInternal Medicine · Intermediate · 5 minNew
- 506Toddler with sudden coughing fit and localised wheeze after playing with small toysEmergency Medicine · Intermediate · 5 minNew
- 507Pregnant woman with elevated blood pressure noted before 20 weeks gestationObstetrics & Gynaecology · Intermediate · 5 minNew
- 508Traveller from rural Latin America with facial swelling around one eye and low-grade feverInfectious Disease · Advanced · 5 minNew
- 509Adult with a painful, swollen lump near the anusSurgery · Introductory · 5 minNew
- 510Older adult with gradual cognitive decline and mild weakness after a fall weeks earlierNeurology · Intermediate · 5 minNew
- 511Man with itchy, macerated skin between the toesDermatology · Introductory · 5 minNew
- 512Postpartum woman with breathlessness and leg swellingCardiology · Advanced · 5 minNew
- 513Middle-aged man with sudden severe pain and swelling in the big toeInternal Medicine · Introductory · 5 minNew
- 514Trauma patient with chest pain, breathlessness and reduced breath sounds on one sideEmergency Medicine · Intermediate · 5 minNew
- 515Pregnant woman whose baby's abdominal measurements are falling behind expected growthObstetrics & Gynaecology · Intermediate · 5 minNew
- 516An infant with unexplained bruising in unusual places and a history that does not fit the injuryPaediatrics · Advanced · 5 minNew
- 517Person with advanced HIV disease and profuse watery diarrhoea with significant weight lossInfectious Disease · Advanced · 5 minNew
- 518Older adult with a protruding mass from the anus on strainingSurgery · Intermediate · 5 minNew
- 519Middle-aged adult with gradual headaches and subtle personality changeNeurology · Intermediate · 5 minNew
- 520Man with an itchy, spreading rash in the groin foldsDermatology · Introductory · 5 minNew
- 521Adult with progressive breathlessness and a history of rheumatic feverCardiology · Intermediate · 5 minNew
- 522Older adult with acute swelling and pain in the kneeInternal Medicine · Intermediate · 5 minNew
- 523Trauma patient with breathlessness and bowel sounds heard in the chestEmergency Medicine · Advanced · 5 minNew
- 524Pregnant woman with widespread itching but no rash in the third trimesterObstetrics & Gynaecology · Intermediate · 5 minNew
- 525Young child with ear pain, fever and irritability after a coldPaediatrics · Introductory · 5 minNew
- 526Older woman with a tender groin lump below the inguinal ligamentSurgery · Intermediate · 5 minNew
- 527Adult with new-onset seizures and progressive focal neurological symptomsNeurology · Advanced · 5 minNew
- 528Young adult with patchy, discoloured, scaly patches on the trunkDermatology · Introductory · 5 minNew
- 529Older adult with an abnormal ECG conduction pattern found incidentallyCardiology · Intermediate · 5 minNew
- 530Middle-aged woman with symmetrical joint pain and morning stiffnessInternal Medicine · Intermediate · 5 minNew
- 531Adult with sudden severe chest pain after forceful vomitingEmergency Medicine · Advanced · 5 minNew
- 532Breastfeeding woman with a painful, red, hot area of one breast and feverObstetrics & Gynaecology · Introductory · 5 minNew
- 533Child with a protruding ear, post-auricular swelling and feverPaediatrics · Advanced · 5 minNew
- 534Adult with subcutaneous painless nodules and a history of eating undercooked pork abroadInfectious Disease · Intermediate · 5 minNew
- 535Adult with a bulge at an old surgical scar that worsens on strainingSurgery · Introductory · 5 minNew
- 536Adult with neck pain radiating down the arm with tingling in the fingersNeurology · Intermediate · 5 minNew
- 537Young adult with sudden patchy hair loss on the scalpDermatology · Introductory · 5 minNew
- 538Adult with an incidental broad QRS pattern found on routine ECGCardiology · Intermediate · 5 minNew
- 539Young woman with a facial rash, joint pains and fatigueInternal Medicine · Advanced · 5 minNew
- 540Male with a painful, swollen glans and retracted foreskin unable to return to positionEmergency Medicine · Intermediate · 5 minNew
- 541Pregnant woman with bleeding, severe nausea and a uterus larger than expected for datesObstetrics & Gynaecology · Intermediate · 5 minNew
- 542Child with widespread eczema and new painful punched-out skin lesionsPaediatrics · Advanced · 5 minNew
- 543Transplant recipient with fever, breathlessness and visual floatersInfectious Disease · Advanced · 5 minNew
- 544Man with an intermittent groin lump that appears on standing and coughingSurgery · Introductory · 5 minNew
- 545Adult with lower back pain radiating down the leg with numbness in the footNeurology · Intermediate · 5 minNew
- 546Middle-aged man with gradual thinning of hair at the crown and templesDermatology · Introductory · 5 minNew
- 547Young adult with episodic palpitations and a characteristic ECG abnormalityCardiology · Advanced · 5 minNew
- 548Middle-aged adult with sinusitis, haemoptysis and blood in the urineInternal Medicine · Advanced · 5 minNew
- 549Adult found collapsed with a slow pulse and low blood pressure after tablet ingestionEmergency Medicine · Intermediate · 5 minNew
- 550Woman with fever, offensive lochia and uterine tenderness several days after birthObstetrics & Gynaecology · Intermediate · 5 minNew
- 551Child with fatigue, bruising and recurrent infectionsPaediatrics · Intermediate · 5 minNew
- 552Adolescent with prolonged sore throat, fever and marked lymphadenopathy after starting amoxicillinInfectious Disease · Introductory · 5 minNew
- 553Adult with heartburn and regurgitation worse on lying flat and bendingSurgery · Introductory · 5 minNew
- 554Adult with sudden weakness of one side of the face including the foreheadNeurology · Intermediate · 5 minNew
- 555Child with a rough, raised skin lesion on the handDermatology · Introductory · 5 minNew
- 556Older adult with a prolonged conduction interval found incidentally on ECGCardiology · Introductory · 5 minNew
- 557Older woman with bilateral shoulder and hip girdle stiffnessInternal Medicine · Intermediate · 5 minNew
- 558Adult with profound hypotension and slow heart rate after deliberate tablet ingestionEmergency Medicine · Advanced · 5 minNew
- 559Pregnant woman with a sudden gush of clear fluid before contractions beginObstetrics & Gynaecology · Intermediate · 5 minNew
- 560Toddler with bowed legs and delayed walkingPaediatrics · Intermediate · 5 minNew
- 561Pregnant woman with fever and flu-like illness after eating soft cheeseInfectious Disease · Intermediate · 5 minNew
- 562Adult with a soft swelling at the umbilicus that protrudes with strainingSurgery · Introductory · 5 minNew
- 563Adult with slowly progressive weakness and numbness in the limbs over monthsNeurology · Advanced · 5 minNew
- 564Adult with recurrent painful grouped blisters around the lipsDermatology · Introductory · 5 minNew
- 565Older adult with intermittent dizziness and dropped heartbeats on monitoringCardiology · Intermediate · 5 minNew
- 566Adult with excessive thirst, frequent urination and weight lossInternal Medicine · Introductory · 5 minNew
- 567Toddler with sudden drooling and reluctance to eat after playing with a small toyEmergency Medicine · Introductory · 5 minNew
- 568Labouring woman with sudden fetal heart rate abnormality after membrane ruptureObstetrics & Gynaecology · Advanced · 5 minNew
- 569Child with fever, joint pain and a recent sore throatPaediatrics · Advanced · 5 minNew
- 570Adult with new-onset focal seizures and a ring-enhancing brain lesionInfectious Disease · Advanced · 5 minNew
- 571Adult with sudden abdominal pain, distension and vomiting after altered bowel motilitySurgery · Advanced · 5 minNew
- 572Adult with fever, headache and focal neurological deficit after a dental infectionNeurology · Advanced · 5 minNew
- 573Older adult with a rough, scaly patch on sun-exposed skinDermatology · Intermediate · 5 minNew
- 574Adult with intermittent syncope and unpredictable dropped heartbeatsCardiology · Advanced · 5 minNew
- 575Child with rapid weight loss, thirst and fruity-smelling breathInternal Medicine · Intermediate · 5 minNew
- 576Multiple casualties with chest and ear injuries following an explosionEmergency Medicine · Advanced · 5 minNew
- 577Unvaccinated child with fever followed by asymmetric limb weaknessPaediatrics · Advanced · 5 minNew
- 578Adult with a painful swollen lymph node, high fever and recent flea exposure in a rural areaInfectious Disease · Advanced · 5 minNew
- 579Trauma patient with right upper quadrant pain and hypotension after blunt injurySurgery · Advanced · 5 minNew
- 580Middle-aged adult with progressive personality change and disinhibited behaviourNeurology · Advanced · 5 minNew
- 581Adult with thickened, discoloured toenailsDermatology · Introductory · 5 minNew
- 582Older adult with episodes of dizziness and alternating fast and slow heart ratesCardiology · Advanced · 5 minNew
- 583Overweight adult with incidental hyperglycaemia found on routine bloodsInternal Medicine · Introductory · 5 minNew
- 584Trauma patient with bruising around the eyes and behind the ears after a head injuryEmergency Medicine · Intermediate · 5 minNew
- 585Woman with a painful swollen lump at the entrance to the vaginaObstetrics & Gynaecology · Introductory · 5 minNew
- 586Newborn develops yellow discolouration of skin on day three of lifePaediatrics · Introductory · 5 minNew
- 587Farm worker with fever, headache and atypical pneumonia after handling livestock at parturitionInfectious Disease · Intermediate · 5 minNew
- 588Patient with a mangled limb and heavy bleeding after machinery injurySurgery · Advanced · 5 minNew
- 589Older adult with stepwise cognitive decline following recurrent small strokesNeurology · Intermediate · 5 minNew
- 590Adult with painful swelling around the nail foldDermatology · Introductory · 5 minNew
- 591Adult with breathlessness and a wide pulse pressure on examinationCardiology · Intermediate · 5 minNew
- 592Adult found to have persistently elevated blood pressure on routine checksInternal Medicine · Introductory · 5 minNew
- 593Young adult with agitation, dilated pupils and a racing heart after a night outEmergency Medicine · Intermediate · 5 minNew
- 594Pregnant woman with vaginal bleeding in the third trimesterObstetrics & Gynaecology · Intermediate · 5 minNew
- 595Jaundiced newborn becomes lethargic with arching of the backPaediatrics · Advanced · 5 minNew
- 596Adult with fever, headache and a rash spreading from the wrists and ankles after a tick biteInfectious Disease · Intermediate · 5 minNew
- 597Adult with localised chest wall pain and tenderness after a fall onto the ribsSurgery · Introductory · 5 minNew
- 598Older adult with rapidly progressive dementia, myoclonus and unsteady gaitNeurology · Advanced · 5 minNew
- 599Adult with a painful, red, pus-filled lump on the skinDermatology · Introductory · 5 minNew
- 600Adult with sudden tearing chest pain radiating to the back and unequal pulsesCardiology · Advanced · 5 minNew
- 601Inpatient develops new fever and cough five days after admissionInternal Medicine · Intermediate · 5 minNew
- 602Child with facial swelling, wheeze and collapse after eating a snackEmergency Medicine · Introductory · 5 minNew
- 603Twin pregnancy with unequal fluid volumes and size discrepancy on scanObstetrics & Gynaecology · Advanced · 5 minNew
- 604Newborn fails to breathe adequately at delivery after a difficult labourPaediatrics · Advanced · 5 minNew
- 605Adult with chronic intermittent abdominal pain and a migrating itchy linear rashInfectious Disease · Advanced · 5 minNew
- 606Young adult with shoulder pain and deformity after falling onto an outstretched armSurgery · Introductory · 5 minNew
- 607Adult with an uncomfortable urge to move the legs at night, relieved by movementNeurology · Introductory · 5 minNew
- 608Adult with a persistent reddish-brown patch in a skin foldDermatology · Intermediate · 5 minNew
- 609Adult with sudden severe back pain and hypertension after long-standing poor controlCardiology · Advanced · 5 minNew
- 610Swollen, painful calf after a long-haul flightInternal Medicine · Introductory · 5 minNew
- 611Adult with sudden swelling of the lips and face without itching or rashEmergency Medicine · Intermediate · 5 minNew
- 612Woman with heavy vaginal bleeding immediately after delivery and a soft uterusObstetrics & Gynaecology · Intermediate · 5 minNew
- 613Preterm infant develops grunting and chest retractions shortly after birthPaediatrics · Intermediate · 5 minNew
- 614Adult who notices small mobile white segments in the stool after eating undercooked beefInfectious Disease · Introductory · 5 minNew
- 615Older adult with wrist deformity after falling onto an outstretched handSurgery · Introductory · 5 minNew
- 616Older adult with progressive clumsiness of the hands and unsteady gaitNeurology · Intermediate · 5 minNew
- 617Child with an itchy scalp and small white specks attached to hair strandsDermatology · Introductory · 5 minNew
- 618Young athlete with palpitations and exercise-induced collapseCardiology · Advanced · 5 minNew
- 619Long-term smoker with progressive breathlessness and chronic coughInternal Medicine · Intermediate · 5 minNew
- 620Adult with a painful puncture wound and surrounding redness after a dog biteEmergency Medicine · Introductory · 5 minNew
- 621Labouring woman whose baby's head delivers but shoulders become stuckObstetrics & Gynaecology · Advanced · 5 minNew
- 622Child with sore throat, fever and difficulty swallowingPaediatrics · Introductory · 5 minNew
- 623Adult with fever, diffuse rash and rapidly progressive shock following a minor skin woundInfectious Disease · Advanced · 5 minNew
- 624Trauma patient with pelvic instability and hypotension after a high-energy injurySurgery · Advanced · 5 minNew
- 625Young adult with high-arched feet, foot drop and a family history of similar leg weaknessNeurology · Intermediate · 5 minNew
- 626Adult with diabetes and a yellow-brown atrophic patch on the shinDermatology · Advanced · 5 minNew
- 627Adult with recurrent chest pain at rest, often in the early morning, that resolves spontaneouslyCardiology · Intermediate · 5 minNew
- 628Child with recurrent episodes of wheeze and breathlessness, worse at nightInternal Medicine · Introductory · 5 minNew
- 629Adult with confusion, dry flushed skin and a rapid heart rate after taking an unknown tabletEmergency Medicine · Intermediate · 5 minNew
- 630Labouring woman with sudden painless vaginal bleeding and fetal heart rate abnormality after membrane ruptureObstetrics & Gynaecology · Advanced · 5 minNew
- 631Infant with poor weight gain and visible wastingPaediatrics · Advanced · 5 minNew
- 632Patient with a visibly deformed limb and exposed bone after a fallSurgery · Intermediate · 5 minNew
- 633Adult with rapidly progressive leg weakness, a sensory band around the trunk and bladder dysfunctionNeurology · Advanced · 5 minNew
- 634Patient with immunosuppression and purple skin nodulesDermatology · Advanced · 5 minNew
- 635Young adult with exertional chest tightness and a coronary artery that dips into the muscle on imagingCardiology · Advanced · 5 minNew
- 636Older adult with progressive breathlessness and dry coughInternal Medicine · Intermediate · 5 minNew
- 637Adult with vomiting, watery diarrhoea and numbness in the hands and feet over weeksEmergency Medicine · Advanced · 5 minNew
- 638Toddler with sudden vomiting and watery diarrhoeaPaediatrics · Introductory · 5 minNew
- 639Traveller with fever, headache and a rash spreading from the trunk outward after body lice exposureInfectious Disease · Intermediate · 5 minNew
- 640Older adult with a fracture after minimal trauma and known bone diseaseSurgery · Intermediate · 5 minNew
- 641Older adult with parkinsonism, marked postural hypotension and early fallsNeurology · Advanced · 5 minNew
- 642Older adult with chronic, persistent scaly patches resistant to standard eczema treatmentDermatology · Advanced · 5 minNew
- 643Adult with progressive breathlessness, oedema and a small stiff-appearing heart on imagingCardiology · Advanced · 5 minNew
- 644Adult with progressive breathlessness and dullness at the lung baseInternal Medicine · Intermediate · 5 minNew
- 645Adult found drowsy and slurring speech after taking multiple tabletsEmergency Medicine · Introductory · 5 minNew
- 646Woman with sudden collapse and heavy bleeding immediately after vaginal deliveryObstetrics & Gynaecology · Advanced · 5 minNew
- 647Infant with lethargy and sunken eyes after days of diarrhoeaPaediatrics · Advanced · 5 minNew
- 648Adult with loss of pain and temperature sensation in the arms but preserved touch sensationNeurology · Advanced · 5 minNew
- 649Newborn with a large pigmented birthmarkDermatology · Introductory · 5 minNew
- 650Young woman with dizziness and palpitations on standing without a significant blood pressure dropCardiology · Intermediate · 5 minNew
- 651Adult with fatigue and incidentally found abnormal kidney blood testsInternal Medicine · Intermediate · 5 minNew
- 652Pregnant woman with sudden fluid leakage before 37 weeksObstetrics & Gynaecology · Intermediate · 5 minNew
- 653Infant with poor feeding, breathlessness and a heart murmur detected at routine checkPaediatrics · Intermediate · 5 minNew
- 654Adult with severe perianal pain, swelling and feverSurgery · Intermediate · 5 minNew
- 655Adult with sudden severe rotational vertigo and vomiting following a viral illnessNeurology · Intermediate · 5 minNew
- 656Newborn with a flat, pink-red facial birthmark noted at deliveryDermatology · Introductory · 5 minNew
- 657Adult from an area with limited healthcare access with breathlessness and a rumbling mid-diastolic murmurCardiology · Intermediate · 5 minNew
- 658Child with dark urine, facial swelling and raised blood pressureInternal Medicine · Intermediate · 5 minNew
- 659Young woman with a smooth, mobile breast lump noticed incidentallyObstetrics & Gynaecology · Introductory · 5 minNew
- 660Infant with a loud murmur detected shortly after birth and mild breathlessness on feedingPaediatrics · Intermediate · 5 minNew
- 661Young adult with mild dysuria and intermittent discharge, largely asymptomaticInfectious Disease · Introductory · 5 minNew
- 662Adult with fever, right upper quadrant pain and rigors over several daysSurgery · Intermediate · 5 minNew
- 663Adult with rapid correction of low sodium developing new weakness and difficulty swallowingNeurology · Advanced · 5 minNew
- 664Infant with a rapidly growing red raised skin lesionDermatology · Introductory · 5 minNew
- 665Older adult with diabetes found to have new heart failure and ECG changes without prior chest painCardiology · Intermediate · 5 minNew
- 666Adult woman with dysuria, frequency and suprapubic discomfortInternal Medicine · Introductory · 5 minNew
- 667Woman with intermittent pelvic pain and a mass found on examinationObstetrics & Gynaecology · Introductory · 5 minNew
- 668Young child with a painless abdominal mass found by a parentPaediatrics · Intermediate · 5 minNew
- 669Adult with flank pain and reduced urine output found to have a dilated renal collecting systemSurgery · Intermediate · 5 minNew
- 670Woman with known muscle weakness presenting with worsening breathlessness and difficulty swallowingNeurology · Advanced · 5 minNew
- 671Adult with fever, flank pain and urinary symptomsInternal Medicine · Introductory · 5 minNew
- 672Adult with chest pain, agitation and a racing heart after recreational drug useEmergency Medicine · Intermediate · 5 minNew
- 673Woman with an ovarian mass and unexpected symptoms of overactive thyroidObstetrics & Gynaecology · Advanced · 5 minNew
- 674Toddler with delayed motor milestones and abnormal muscle tonePaediatrics · Intermediate · 5 minNew
- 675Young adult with painful genital ulcers and fever after a new sexual encounterInfectious Disease · Introductory · 5 minNew
- 676Older adult with painless visible haematuria and unintentional weight lossSurgery · Intermediate · 5 minNew
- 677Adult with inferior chest pain, hypotension and clear lung fields after a coronary eventCardiology · Advanced · 5 minNew
- 678Middle-aged man with abdominal swelling, jaundice and spider naeviInternal Medicine · Intermediate · 5 minNew
- 679Patient with prolonged limb entrapment, dark urine and severe pain after rescueEmergency Medicine · Advanced · 5 minNew
- 680Teenage girl with primary amenorrhoea and absent pubic hairObstetrics & Gynaecology · Advanced · 5 minNew
- 681Infant with wheeze, crackles and increased work of breathing after a coldPaediatrics · Introductory · 5 minNew
- 682Older man with inability to pass urine and severe suprapubic discomfortSurgery · Introductory · 5 minNew
- 683Older adult speaking fluently but with words that make little senseNeurology · Intermediate · 5 minNew
- 684Adult with sudden breathlessness and a new loud murmur days after a heart attackCardiology · Advanced · 5 minNew
- 685Middle-aged man with long-standing heavy drinking presenting with jaundice and abdominal distensionInternal Medicine · Intermediate · 5 minNew
- 686Fire survivor with severe lactic acidosis and reduced consciousness despite normal oxygen saturationsEmergency Medicine · Advanced · 5 minNew
- 687Woman with a third consecutive early pregnancy lossObstetrics & Gynaecology · Intermediate · 5 minNew
- 688Premature infant with ongoing oxygen requirement beyond the neonatal periodPaediatrics · Advanced · 5 minNew
- 689Traveller in rural Southeast Asia with fever, headache and declining consciousnessInfectious Disease · Advanced · 5 minNew
- 690Adult with a spinal cord condition and difficulty sensing bladder fullnessSurgery · Advanced · 5 minNew
- 691Older adult with sudden confusion and fluctuating attention during an infectionNeurology · Introductory · 5 minNew
- 692Adult with resolved chest pain and characteristic T-wave changes on ECGCardiology · Advanced · 5 minNew
- 693Adult with vomiting of blood and dark, tarry stoolsInternal Medicine · Intermediate · 5 minNew
- 694Adult with confusion, high anion gap acidosis and crystals in the urine after drinking antifreezeEmergency Medicine · Advanced · 5 minNew
- 695Term newborn with fast breathing shortly after delivery that improves over a dayPaediatrics · Introductory · 5 minNew
- 696Man with persistent pelvic discomfort and urinary symptoms over several monthsSurgery · Intermediate · 5 minNew
- 697Young woman with painful loss of vision in one eye over several daysNeurology · Intermediate · 5 minNew
- 698Older adult with heart failure symptoms, thickened ventricular walls and low ECG voltagesCardiology · Advanced · 5 minNew
- 699Older adult passing fresh red blood per rectumInternal Medicine · Intermediate · 5 minNew
- 700Hiker with pale, numb fingers after prolonged exposure to freezing conditionsEmergency Medicine · Intermediate · 5 minNew
- 701Newborn with severe respiratory distress and a scaphoid abdomenPaediatrics · Advanced · 5 minNew
- 702Older adult with left iliac fossa pain, fever and altered bowel habitSurgery · Intermediate · 5 minNew
- 703Woman with headaches and blurred vision found to have swollen optic discsNeurology · Intermediate · 5 minNew
- 704Young adult with cyanosis, clubbing and a long-standing untreated heart murmur since childhoodCardiology · Advanced · 5 minNew
- 705Adult with recurring burning epigastric pain related to mealsInternal Medicine · Introductory · 5 minNew
- 706Adult with widespread hives and breathlessness minutes after a wasp stingEmergency Medicine · Introductory · 5 minNew
- 707Newborn with small head size, petechiae and hearing concerns after an uneventful pregnancyPaediatrics · Advanced · 5 minNew
- 708Adult with recurrent vomiting of undigested food and early satietySurgery · Intermediate · 5 minNew
- 709Older adult with progressive asymmetric limb stiffness and a 'useless' handNeurology · Advanced · 5 minNew
- 710Young adult with cyanosis and palpitations found to have an abnormally positioned heart valveCardiology · Advanced · 5 minNew
- 711Adult with recurring heartburn and a sour taste after mealsInternal Medicine · Introductory · 5 minNew
- 712Adult with facial swelling, distended neck veins and breathlessness worse on lying flatEmergency Medicine · Advanced · 5 minNew
- 713One-week-old infant with bilateral sticky, swollen red eyesPaediatrics · Introductory · 5 minNew
- 714Middle-aged man with progressive limb weakness and muscle twitchingNeurology · Advanced · 5 minNew
- 715Newborn with hypotonia, characteristic facial features and a murmurPaediatrics · Introductory · 5 minNew
- 716Adolescent with limping and hip or knee pain following minimal traumaSurgery · Intermediate · 5 minNew
- 717Older adult with a longstanding hand tremor that worsens with actionNeurology · Introductory · 5 minNew
- 718Adolescent with sudden loss of consciousness after prolonged standing preceded by nausea and sweatingCardiology · Introductory · 5 minNew
- 719Adult with heavy alcohol use presenting with vomiting and rapid breathing but normal glucoseInternal Medicine · Advanced · 5 minNew
- 720Adult found drowsy with a fast heart rate and widened QRS complex after a deliberate overdoseEmergency Medicine · Advanced · 5 minNew
- 721Hospitalised adult with marked abdominal distension but no mechanical blockage foundSurgery · Advanced · 5 minNew
- 722Frequent headache sufferer whose headaches worsen despite increasing painkiller useNeurology · Intermediate · 5 minNew
- 723Adult with fatigue, ankle swelling and a pulsatile neck and liver on examinationCardiology · Intermediate · 5 minNew
- 724Adult with painful liver enlargement, ascites and abdominal swellingInternal Medicine · Advanced · 5 minNew
- 725Adult with facial pain, nasal congestion and thick nasal discharge after a coldEmergency Medicine · Introductory · 5 minNew
- 726Older man with sudden inability to pass urine and suprapubic discomfortSurgery · Introductory · 5 minNew
- 727Man with excruciating unilateral eye pain and a watering, red eye in clustersNeurology · Intermediate · 5 minNew
- 728Young adult with an incidental murmur and exertional breathlessness since childhoodCardiology · Intermediate · 5 minNew
- 729Young adult with fatigue, jaundice and abnormal liver tests without viral causeInternal Medicine · Intermediate · 5 minNew
- 730Adult with confusion, bruising and fragmented red cells on blood filmEmergency Medicine · Advanced · 5 minNew
- 731Child with clusters of small, pearly, umbilicated skin bumpsPaediatrics · Introductory · 5 minNew
- 732Man with pale numb skin patches and thickened nervesInfectious Disease · Intermediate · 5 minNew
- 733Man with rapidly progressive pain, swelling and discolouration of the genital and perineal skinSurgery · Advanced · 5 minNew
- 734Woman with sudden severe vision loss in one eye and later leg weaknessNeurology · Advanced · 5 minNew
- 735Trauma patient with chest wall bruising and arrhythmia after a steering wheel injuryCardiology · Intermediate · 5 minNew
- 736Older adult with fatigue, swelling and heavy proteinuria with an enlarged tongueInternal Medicine · Advanced · 5 minNew
- 737Recent chemotherapy patient with fever, hypotension and rapid deteriorationEmergency Medicine · Advanced · 5 minNew
- 738Woman with frothy, malodorous vaginal discharge and itchingInfectious Disease · Introductory · 5 minNew
- 739Older adult with severe abdominal pain out of proportion to examination findingsSurgery · Advanced · 5 minNew
- 740Patient with brief spinning sensations triggered by rolling over in bedNeurology · Introductory · 5 minNew
- 741Infant with a murmur, mild breathlessness on feeding and reduced growthCardiology · Intermediate · 5 minNew
- 742Older adult with sudden severe back and abdominal pain and a pulsatile massInternal Medicine · Advanced · 5 minNew
- 743Man with pneumonia, confusion and diarrhoea after a hotel stayInfectious Disease · Intermediate · 5 minNew
- 744Older adult with persistent perianal bleeding and a non-healing lesionSurgery · Intermediate · 5 minNew
- 745Middle-aged adult with gradual unilateral hearing loss and unsteadinessNeurology · Intermediate · 5 minNew
- 746Adult with resistant hypertension and an abdominal bruitInternal Medicine · Intermediate · 5 minNew
- 747Man with fever, perineal pain and urinary symptoms of sudden onsetEmergency Medicine · Intermediate · 5 minNew
- 748Young adult with recurrent perianal discharge and known bowel inflammationSurgery · Intermediate · 5 minNew
- 749Child with fever, joint pain and a new heart murmur weeks after a sore throatCardiology · Advanced · 5 minNew
- 750Adult with sudden eye pain and watering after a minor injuryEmergency Medicine · Introductory · 5 minNew
- 751Adult with ear pain, itching and discharge that worsens with movement of the outer earPaediatrics · Introductory · 5 minNew
- 752Man with a painful, irreducible groin lump and vomitingSurgery · Intermediate · 5 minNew
- 753Man who collapses suddenly at a gym with no pulse detectedCardiology · Advanced · 5 minNew
- 754Young man with chronic lower back pain and morning stiffness improving with exerciseInternal Medicine · Intermediate · 5 minNew
- 755Contact lens wearer with painful red eye and a visible white spot on the corneaEmergency Medicine · Intermediate · 5 minNew
- 756Infant with several days of high fever followed by a rash appearing as the fever settlesPaediatrics · Introductory · 5 minNew
- 757Young man with gradual-onset unilateral scrotal pain and swellingSurgery · Introductory · 5 minNew
- 758Man found collapsed with organised rhythm on the monitor but no pulseCardiology · Advanced · 5 minNew
- 759Adult with a painful red eye, photophobia and blurred visionEmergency Medicine · Intermediate · 5 minNew
- 760Child with intense perianal itching, worse at night, and poor sleepPaediatrics · Introductory · 5 minNew
- 761Man with painful testicular swelling following recent parotid swellingSurgery · Intermediate · 5 minNew
- 762Collapsed patient with no cardiac electrical activity on the monitorCardiology · Advanced · 5 minNew
- 763Adult with proximal muscle weakness and a violaceous rash over the eyelids and knucklesInternal Medicine · Advanced · 5 minNew
- 764Older adult with sudden painless blurring of vision in one eyeEmergency Medicine · Intermediate · 5 minNew
- 765Infant with fever, widespread skin redness and peeling that spares the mucous membranesPaediatrics · Intermediate · 5 minNew
- 766Woman with recurrent syncope and a twisting rhythm on the monitorCardiology · Advanced · 5 minNew
- 767Adult with excessive thirst and passing very large volumes of dilute urineInternal Medicine · Intermediate · 5 minNew
- 768Adolescent with gradual onset cough, headache and patchy chest X-ray changesInfectious Disease · Intermediate · 5 minNew
- 769Older man with sudden collapse during exertion without warning symptomsCardiology · Intermediate · 5 minNew
- 770Adult with weight loss, palpitations and heat intolerance despite a good appetiteInternal Medicine · Intermediate · 5 minNew
- 771Marathon runner with dizziness, heavy sweating and nausea in hot weatherEmergency Medicine · Introductory · 5 minNew
- 772Immunocompromised patient with fever and nodular lung infiltratesInfectious Disease · Advanced · 5 minNew
- 773Young adult with an incidental mid-systolic click and occasional palpitationsCardiology · Introductory · 5 minNew
- 774Adult with tingling around the mouth and fingers and muscle cramps after neck surgeryInternal Medicine · Intermediate · 5 minNew
- 775Adult with sudden fever, rigors and lobar consolidationInfectious Disease · Introductory · 5 minNew
- 776Young adult with a fixed splitting of the second heart sound found incidentallyCardiology · Intermediate · 5 minNew
- 777Adult with fatigue, weight gain and cold intolerance over several monthsInternal Medicine · Introductory · 5 minNew
- 778Adult with rapidly spreading neck swelling, difficulty swallowing and a muffled voice following a dental infectionEmergency Medicine · Advanced · 5 minNew
- 779Newborn with poor feeding, temperature instability and respiratory distress within hours of birthPaediatrics · Advanced · 5 minNew
- 780Young child with painless rectal bleeding and no other symptomsSurgery · Intermediate · 5 minNew
- 781Newborn with severe central cyanosis unresponsive to oxygen shortly after birthCardiology · Advanced · 5 minNew
- 782Older adult with progressive groin pain and stiffness worsened by walkingInternal Medicine · Introductory · 5 minNew
- 783Patient developing rapidly rising temperature and muscle rigidity during general anaesthesiaEmergency Medicine · Advanced · 5 minNew
- 784Toddler with mouth ulcers and small blisters on the hands and feet, mildly unwellPaediatrics · Introductory · 5 minNew
- 785Pregnant traveller with acute jaundice and rapidly worsening liver functionInfectious Disease · Intermediate · 5 minNew
- 786Adult with sudden severe epigastric pain and a rigid abdomenSurgery · Advanced · 5 minNew
- 787Neonate collapsing with poor perfusion as a ductal-dependent lesion closesCardiology · Advanced · 5 minNew
- 788Postmenopausal woman found to have low bone density after a wrist fracture from a minor fallInternal Medicine · Introductory · 5 minNew
- 789Young man with sudden breathlessness and chest pain after a road accidentEmergency Medicine · Intermediate · 5 minNew
- 790Infant with painless scrotal swelling that transilluminatesSurgery · Introductory · 5 minNew
- 791Young adult with recent viral illness now presenting with chest pain and arrhythmiaCardiology · Intermediate · 5 minNew
- 792Adult with new visual field loss and headaches found to have a pituitary massInternal Medicine · Advanced · 5 minNew
- 793Stabbing victim with falling blood pressure and distended neck veinsEmergency Medicine · Advanced · 5 minNew
- 794Adolescent male with a dragging scrotal discomfort and a 'bag of worms' sensationSurgery · Introductory · 5 minNew
- 795Patient with a prosthetic heart valve presenting with fever and new murmurCardiology · Advanced · 5 minNew
- 796Adult with joint pain, sausage-shaped swollen fingers and nail pittingInternal Medicine · Intermediate · 5 minNew
- 797Electrician found unresponsive after contact with a live wireEmergency Medicine · Advanced · 5 minNew
- 798Young boy with difficulty retracting the foreskin and ballooning during urinationSurgery · Introductory · 5 minNew
- 799Child with migratory joint pain, fever and a new heart murmur after a sore throatCardiology · Intermediate · 5 minNew
- 800Young man with joint pain, red eyes and urethral discharge following a gastrointestinal illnessInternal Medicine · Intermediate · 5 minNew
- 801Man found collapsed outdoors after a thunderstorm with burns and confusionEmergency Medicine · Intermediate · 5 minNew
- 802Child with persistent joint swelling, morning stiffness and intermittent feversPaediatrics · Intermediate · 5 minNew
- 803Older man with a slow, weak urinary stream and recurrent urinary infectionsSurgery · Intermediate · 5 minNew
- 804Older adult with bilateral ankle swelling worse by evening and skin pigmentationCardiology · Introductory · 5 minNew
- 805Adult with skin tightening of the fingers and face alongside episodes of finger colour change in the coldInternal Medicine · Advanced · 5 minNew
- 806Child pulled from a swimming pool, coughing and struggling to breatheEmergency Medicine · Intermediate · 5 minNew
- 807Young man with a painless firm testicular lumpSurgery · Intermediate · 5 minNew
- 808Older adult with recurrent leg heaviness, varicose veins and skin ulcerationCardiology · Intermediate · 5 minNew
- 809Adult with chronic kidney disease and bone pain found to have persistently high parathyroid hormoneInternal Medicine · Advanced · 5 minNew
- 810Toddler who suddenly develops drooling and refusal to eat after playing aloneEmergency Medicine · Introductory · 5 minNew
- 811Older adult smoker with progressive hoarseness lasting several weeksSurgery · Intermediate · 5 minNew
- 812Older adult with an incidental widened mediastinum and intermittent chest discomfortCardiology · Advanced · 5 minNew
- 813Adult with a painful, tender thyroid and fever following a recent viral illnessInternal Medicine · Intermediate · 5 minNew
- 814Child with sudden widespread bruising and a very low platelet count after a viral illnessPaediatrics · Intermediate · 5 minNew
- 815Older smoker with a non-healing ulcer on the side of the tongueSurgery · Intermediate · 5 minNew
- 816Young adult with very high cholesterol and tendon xanthomas with a strong family historyCardiology · Intermediate · 5 minNew
- 817Adult with a painless, firm, enlarging thyroid nodule and a hoarse voiceInternal Medicine · Advanced · 5 minNew
- 818Adult with sickle cell disease and a persistent, painful erectionEmergency Medicine · Intermediate · 5 minNew
- 819Adolescent with worsening knee pain and swelling over several weeksSurgery · Intermediate · 5 minNew
- 820Middle-aged adult with mildly elevated cholesterol identified on routine screeningCardiology · Introductory · 5 minNew
- 821Adult with a gradually enlarging, painless swelling in the front of the neckInternal Medicine · Introductory · 5 minNew
- 822Older adult with fever, confusion and hypotension following urinary symptomsEmergency Medicine · Intermediate · 5 minNew
- 823Child with failure to thrive and persistent metabolic acidosis despite normal kidney imagingPaediatrics · Advanced · 5 minNew
- 824Adolescent with diaphyseal bone pain, fever and a mass mistaken for infectionSurgery · Advanced · 5 minNew
- 825Older adult with long-standing high blood pressure and left ventricular hypertrophyCardiology · Intermediate · 5 minNew
- 826Young athlete with brief confusion and headache after a head knockEmergency Medicine · Introductory · 5 minNew
- 827Child of Southeast Asian heritage with mild persistent microcytic anaemia and normal iron studiesPaediatrics · Intermediate · 5 minNew
- 828Adult with a slowly enlarging, painless deep thigh massSurgery · Intermediate · 5 minNew
- 829Adult with elevated blood pressure readings only in the clinic settingCardiology · Introductory · 5 minNew
- 830Unconscious patient after a high-speed collision with no focal lesion on initial scanEmergency Medicine · Advanced · 5 minNew
- 831Infant with pallor, poor growth and progressive abdominal distensionPaediatrics · Advanced · 5 minNew
- 832Adult with progressive groin pain and restricted hip movementSurgery · Intermediate · 5 minNew
- 833Woman with breathlessness and leg swelling in the weeks after deliveryCardiology · Advanced · 5 minNew
- 834Young adult with recurrent infections, easy bruising and profound fatigueInternal Medicine · Advanced · 5 minNew
- 835Trauma patient with sudden paralysis and loss of sensation below the chest after a fallEmergency Medicine · Advanced · 5 minNew
- 836Child of African heritage with sudden severe limb pain and feverPaediatrics · Intermediate · 5 minNew
- 837Older adult with leg pain on walking that eases with forward flexionSurgery · Intermediate · 5 minNew
- 838Young adult with painless neck lymphadenopathy and night sweatsCardiology · Intermediate · 5 minNew
- 839Adult with jaundice, dark urine and rapidly falling haemoglobinInternal Medicine · Intermediate · 5 minNew
- 840Patient with oral pain and drooling after swallowing a household chemicalEmergency Medicine · Advanced · 5 minNew
- 841Adult with unilateral leg pain radiating below the knee after liftingSurgery · Introductory · 5 minNew
- 842Older adult with massive splenomegaly, fatigue and teardrop-shaped red cellsCardiology · Advanced · 5 minNew
- 843Older adult with persistent lymphadenopathy found incidentally on blood testingInternal Medicine · Intermediate · 5 minNew
- 844Patient with a hand wound sustained during a fightEmergency Medicine · Introductory · 5 minNew
- 845Adult with neck pain and stiffness after a rear-end collisionSurgery · Introductory · 5 minNew
- 846Young boy with recurrent joint swelling and prolonged bleeding after minor traumaCardiology · Intermediate · 5 minNew
- 847Adult with fatigue, abdominal fullness and a markedly raised white cell countInternal Medicine · Intermediate · 5 minNew
- 848Patient with severe local pain and systemic autonomic symptoms after an outdoor stingEmergency Medicine · Intermediate · 5 minNew
- 849Trauma patient with a cold, pulseless limb after a penetrating woundSurgery · Advanced · 5 minNew
- 850Boy with recurrent muscle bleeds and a family history of a clotting factor deficiencyCardiology · Intermediate · 5 minNew
- 851Adult with sudden fatigue, bruising and fever with abnormal blood countsInternal Medicine · Advanced · 5 minNew
- 852Beachgoer with linear, whip-like painful skin marks after sea exposureEmergency Medicine · Introductory · 5 minNew
- 853Patient with a large area of skin stripped from underlying tissue after a crush accidentSurgery · Intermediate · 5 minNew
- 854Young woman with heavy periods and easy bruising since adolescenceCardiology · Intermediate · 5 minNew
- 855Adult with long-standing diabetes and increasing protein in the urineInternal Medicine · Intermediate · 5 minNew
- 856Patient with rapidly progressive neck swelling and difficulty swallowing after a dental infectionEmergency Medicine · Advanced · 5 minNew
- 857Patient with severe pain in a fractured limb unrelieved by strong analgesiaSurgery · Advanced · 5 minNew
- 858Patient with rash, diarrhoea and deranged liver function after stem cell transplantCardiology · Advanced · 5 minNew
- 859Adult with headaches, visual disturbance and a persistently very high platelet countInternal Medicine · Advanced · 5 minNew
- 860Patient with diabetes and a malodorous, non-healing foot ulcerSurgery · Intermediate · 5 minNew
- 861Cancer patient with rapidly worsening leg weakness and back painCardiology · Advanced · 5 minNew
- 862Adult with intermittent jaundice and dark urine since childhoodInternal Medicine · Intermediate · 5 minNew
- 863Trauma patient with rapidly spreading crepitant wound infection and systemic toxicitySurgery · Advanced · 5 minNew
- 864Patient with facial swelling, distended neck veins and breathlessnessCardiology · Intermediate · 5 minNew
- 865Hospitalised adult with a falling platelet count days after starting anticoagulationInternal Medicine · Advanced · 5 minNew
- 866Older adult with sudden severe abdominal pain and peritonismSurgery · Intermediate · 5 minNew
- 867Lung cancer patient with new muscle weakness and hyponatraemiaCardiology · Advanced · 5 minNew
- 868Young adult with painless neck swelling, night sweats and itchingInternal Medicine · Intermediate · 5 minNew
- 869Young adult with recurrent painful swelling in the natal cleftSurgery · Introductory · 5 minNew
- 870Breast cancer survivor with new bone pain and a pathological fractureCardiology · Intermediate · 5 minNew
- 871Adult with a slowly enlarging, painless swelling in front of the earSurgery · Intermediate · 5 minNew
- 872Colorectal cancer patient with new right upper quadrant discomfort and deranged liver testsCardiology · Intermediate · 5 minNew
- 873Adult with painful swelling of the jaw that worsens with eatingSurgery · Introductory · 5 minNew
- 874Older adult with fatigue, glossitis and tingling in the feetInternal Medicine · Intermediate · 5 minNew
- 875Woman with a sudden, discrete, tender breast lumpSurgery · Introductory · 5 minNew
- 876Adult with gradual leg swelling and frothy urineInternal Medicine · Advanced · 5 minNew
- 877Woman with cyclical bilateral breast pain and tendernessSurgery · Introductory · 5 minNew
- 878Adolescent boy with tender enlargement of breast tissueSurgery · Introductory · 5 minNew
- 879Older adult with painless generalised lymphadenopathy and drenching night sweatsInternal Medicine · Intermediate · 5 minNew
- 880Adult with left upper quadrant fullness found on examinationSurgery · Intermediate · 5 minNew
- 881Older adult with fatigue and tingling hands found to have low vitamin B12Internal Medicine · Intermediate · 5 minNew
- 882Newborn with noisy breathing that worsens with feedingPaediatrics · Intermediate · 5 minNew
- 883Patient with left upper quadrant pain and shoulder tip pain after traumaSurgery · Advanced · 5 minNew
- 884Infant with sudden bilious vomiting in the first weeks of lifePaediatrics · Advanced · 5 minNew
- 885Adult with persistent facial pressure and nasal discharge for monthsSurgery · Intermediate · 5 minNew
- 886Adult with sudden flank pain, visible haematuria and known heavy proteinuriaInternal Medicine · Advanced · 5 minNew
- 887Child with severe diarrhoea, dehydration and abdominal distensionPaediatrics · Advanced · 5 minNew
- 888Young adult with recurrent sneezing, itchy eyes and clear nasal dischargeSurgery · Introductory · 5 minNew
- 889Adult with long-standing inflammatory arthritis and mild persistent anaemiaInternal Medicine · Introductory · 5 minNew
- 890Adult with persistent nasal blockage and loss of smellSurgery · Intermediate · 5 minNew
- 891Older adult with unexplained persistent cytopenias on routine blood testingInternal Medicine · Advanced · 5 minNew
- 892Singer with gradual, persistent hoarseness worsened by voice useSurgery · Intermediate · 5 minNew
- 893Adult with facial redness, itching after hot showers and headachesInternal Medicine · Intermediate · 5 minNew
- 894Patient with chronic foul-smelling ear discharge and hearing lossSurgery · Advanced · 5 minNew
- 895Adult on recent chemotherapy with fever and a very low white cell countInternal Medicine · Advanced · 5 minNew
- 896Adult with recurrent episodes of vertigo, tinnitus and hearing lossSurgery · Intermediate · 5 minNew
- 897Older adult with gradual difficulty hearing conversations, especially in noisy placesSurgery · Introductory · 5 minNew
- 898Older adult with gradual central visual blurring and distorted straight linesInternal Medicine · Intermediate · 5 minNew
- 899Adult with persistent ringing sound in one earSurgery · Introductory · 5 minNew
- 900Older adult with gradual peripheral visual field loss noticed incidentallyInternal Medicine · Intermediate · 5 minNew
- 901Toddler with recurrent febrile urinary infections and abnormal kidney imagingPaediatrics · Intermediate · 5 minNew
- 902Adult with severe throbbing tooth pain and facial swellingSurgery · Introductory · 5 minNew
- 903Older adult with gradually worsening blurred vision and glare from bright lightsInternal Medicine · Introductory · 5 minNew
- 904Male infant with weak urinary stream and prenatally diagnosed bilateral hydronephrosisPaediatrics · Advanced · 5 minNew
- 905Adult with confusion and low sodium found to have concentrated urine despite normal fluid statusInternal Medicine · Intermediate · 5 minNew
- 906Child with bloody diarrhoea followed by pallor, bruising and reduced urine outputPaediatrics · Advanced · 5 minNew
- 907Adult with headache, nausea and confusion found to have a very low serum sodiumInternal Medicine · Intermediate · 5 minNew
- 908Adult with constipation, thirst and confusion found to have a markedly raised calciumInternal Medicine · Intermediate · 5 minNew
- 909Infant referred after an abnormal white reflection noticed in a photographPaediatrics · Introductory · 5 minNew
- 910Feverish toddler with a prolonged convulsive seizure lasting over 30 minutesPaediatrics · Advanced · 5 minNew
- 911Adult undergoing chemotherapy with sudden metabolic derangement and acute kidney injuryInternal Medicine · Advanced · 5 minNew
- 912Infant with sudden flexion spasms in clusters and developmental regressionPaediatrics · Advanced · 5 minNew
- 913Malnourished adult developing weakness and arrhythmia soon after starting nutritional feedingInternal Medicine · Intermediate · 5 minNew
- 914Infant with rapidly increasing head circumference and a bulging fontanellePaediatrics · Intermediate · 5 minNew
- 915Newborn with a midline lumbosacral skin defect and lower limb weaknessPaediatrics · Intermediate · 5 minNew
- 916Young boy with delayed walking and difficulty rising from the floorPaediatrics · Intermediate · 5 minNew
- 917Infant with asymmetric leg skin folds and a clunking sensation on hip examinationPaediatrics · Introductory · 5 minNew
- 918Newborn with both feet turned inward and downward at birthPaediatrics · Introductory · 5 minNew
- 919Newborn with growth restriction, clenched overlapping fingers and multiple congenital anomaliesPaediatrics · Advanced · 5 minNew
- 920Middle-aged woman with fatigue, weight gain and cold intoleranceInternal Medicine · Introductory · 5 minNew
- 921Newborn with cleft lip, extra digits and a scalp defectPaediatrics · Advanced · 5 minNew
- 922Short adolescent girl with delayed puberty and a webbed neckPaediatrics · Intermediate · 5 minNew
- 923Tall adolescent boy with gynaecomastia and small, firm testesPaediatrics · Intermediate · 5 minNew
- 924Boy with learning difficulties, a long face and large earsPaediatrics · Intermediate · 5 minNew
- 925Infant with severe floppiness and poor feeding who later develops insatiable appetitePaediatrics · Advanced · 5 minNew
- 926Boy with dark urine and jaundice days after starting an antimalarialInternal Medicine · Intermediate · 5 minNew
- 927Child with short stature, webbed neck and congenital heart murmurPaediatrics · Intermediate · 5 minNew
- 928Adult with painless enlarging neck lumps, night sweats and weight lossInternal Medicine · Intermediate · 5 minNew
- 929Tall, thin teenager with long fingers and lens dislocationPaediatrics · Intermediate · 5 minNew
- 930Older adult with gradually worsening knee pain and stiffness after activityInternal Medicine · Introductory · 5 minNew
- 931Young woman with hyperextensible joints and stretchy, fragile skinPaediatrics · Intermediate · 5 minNew
- 932Adult with persistent fever and breathlessness despite antibiotics for pneumoniaInternal Medicine · Intermediate · 5 minNew
- 933Infant with developmental delay and a musty odour detected on newborn screeningPaediatrics · Intermediate · 5 minNew
- 934Adult with progressive breathlessness and cough after a toxic inhalationInternal Medicine · Advanced · 5 minNew
- 935Lethargic newborn with prolonged jaundice and constipationPaediatrics · Introductory · 5 minNew
- 936Older man with progressive breathlessness after decades of quarry workInternal Medicine · Intermediate · 5 minNew
- 937Vomiting, jaundiced newborn who deteriorates after starting milk feedsPaediatrics · Intermediate · 5 minNew
- 938Young adult with recurrent abdominal pain, diarrhoea and weight lossInternal Medicine · Intermediate · 5 minNew
- 939Newborn with poor feeding, lethargy and a sweet-smelling odour to urinePaediatrics · Advanced · 5 minNew
- 940Neonate with a soft, fluctuant swelling in the neck noted at birthPaediatrics · Introductory · 5 minNew
- 941Newborn identified at birth with a visible defect of the upper lip and roof of the mouthPaediatrics · Introductory · 5 minNew
- 942Newborn with excessive frothy secretions and choking on first feedPaediatrics · Intermediate · 5 minNew
- 943Newborn with recurrent coughing and cyanosis specifically during feedsPaediatrics · Intermediate · 5 minNew
- 944Retired construction worker with progressive breathlessness and bilateral basal cracklesInternal Medicine · Intermediate · 5 minNew
- 945Newborn with exposed bowel loops protruding through an abdominal wall defect beside the umbilicusPaediatrics · Intermediate · 5 minNew
- 946Retired miner with chronic cough and nodular opacities on chest imagingInternal Medicine · Intermediate · 5 minNew
- 947Newborn with abdominal contents covered by a translucent membranous sac at the umbilicusPaediatrics · Intermediate · 5 minNew
- 948Heavy smoker with rapidly progressive symptoms and a central lung massInternal Medicine · Advanced · 5 minNew
- 949Infant with a moist, pink lump at the umbilicus after cord separationPaediatrics · Introductory · 5 minNew
- 950Smoker with a persistent cough and a peripheral lung mass on imagingInternal Medicine · Intermediate · 5 minNew
- 951Infant with a sore, red rash confined to the area covered by the nappyPaediatrics · Introductory · 5 minNew
- 952Incidental small lung nodule found on imaging for an unrelated reasonInternal Medicine · Introductory · 5 minNew
- 953Infant with greasy, yellow scaling confined to the scalpPaediatrics · Introductory · 5 minNew
- 954Long-term smoker with a productive cough most days for yearsInternal Medicine · Introductory · 5 minNew
- 955Well-thriving infant with excessive crying episodes mainly in the eveningsPaediatrics · Introductory · 5 minNew
- 956Smoker with progressive breathlessness, barrel chest and hyperinflated lungsInternal Medicine · Intermediate · 5 minNew
- 957Infant falling across growth centiles despite apparently adequate feeding historyPaediatrics · Intermediate · 5 minNew
- 958Young adult non-smoker with early-onset emphysema and liver diseaseInternal Medicine · Advanced · 5 minNew
- 959Infant with bruising and a fracture inconsistent with the history givenPaediatrics · Advanced · 5 minNew
- 960Infant with worsening cough illness now with fever and crackles on auscultationInternal Medicine · Intermediate · 5 minNew
- 961Previously well infant found unresponsive in their cot overnightPaediatrics · Intermediate · 5 minNew
- 962Adult with a persistent cough lasting more than eight weeks without a clear causeInternal Medicine · Introductory · 5 minNew
- 963Patient with a milky pleural effusion following thoracic surgeryInternal Medicine · Advanced · 5 minNew
- 964Child with bright red cheeks and a lacy rash on the limbsPaediatrics · Introductory · 5 minNew
- 965Young child with fever, neck stiffness and drooling refusing to eatPaediatrics · Advanced · 5 minNew
- 966Cirrhotic patient with sudden massive haematemesisInternal Medicine · Advanced · 5 minNew
- 967Child with ear pain and a tender, protruding swelling behind the earPaediatrics · Intermediate · 5 minNew
- 968Child with reduced hearing and inattentiveness noticed by teachersPaediatrics · Introductory · 5 minNew
- 969Adult with burning retrosternal pain and painful swallowingInternal Medicine · Introductory · 5 minNew
- 970Infant boy with an empty scrotum on one side noted at routine checkPaediatrics · Introductory · 5 minNew
- 971Neonate with unexpected bruising and prolonged bleeding after heel prickPaediatrics · Intermediate · 5 minNew
- 972Adult with long-standing reflux found to have abnormal oesophageal lining on surveillance endoscopyInternal Medicine · Intermediate · 5 minNew
- 973Newborn of a diabetic mother with jitteriness and poor feedingPaediatrics · Introductory · 5 minNew
- 974Adult with epigastric burning pain and nausea after NSAID useInternal Medicine · Introductory · 5 minNew
- 975Irritable newborn with tremors and feeding difficulty born to a mother on opioidsPaediatrics · Intermediate · 5 minNew
- 976Adult with recurrent severe peptic ulcers and diarrhoea despite treatmentInternal Medicine · Advanced · 5 minNew
- 977Newborn with an arm held straight and internally rotated after a difficult deliveryPaediatrics · Intermediate · 5 minNew
- 978Diabetic patient with early satiety and persistent vomiting of undigested foodInternal Medicine · Intermediate · 5 minNew
- 979Newborn with diffuse boggy scalp swelling crossing suture lines after birthPaediatrics · Introductory · 5 minNew
- 980Older adult with painless jaundice and unexplained weight lossInternal Medicine · Intermediate · 5 minNew
- 981Newborn with a firm scalp swelling appearing hours after a vacuum deliveryPaediatrics · Introductory · 5 minNew
- 982Term neonate with severe cyanosis and respiratory distress unresponsive to oxygenPaediatrics · Advanced · 5 minNew
- 983Adult with persistent abdominal mass and pain weeks after an acute pancreatitis episodeInternal Medicine · Intermediate · 5 minNew
- 984Preterm infant with abdominal distension, bloody stools and feed intolerancePaediatrics · Advanced · 5 minNew
- 985Young adult with ulcerative colitis and progressive pruritus and jaundiceInternal Medicine · Advanced · 5 minNew
- 986Overweight adult with incidentally raised liver enzymes and bright liver on ultrasoundInternal Medicine · Introductory · 5 minNew
- 987Adult with metabolic syndrome and liver fibrosis on biopsy despite minimal alcohol useInternal Medicine · Intermediate · 5 minNew
- 988Cirrhotic patient with ascites, splenomegaly and dilated abdominal wall veinsInternal Medicine · Intermediate · 5 minNew
- 989Young adult with chronic upper abdominal discomfort and normal endoscopyInternal Medicine · Introductory · 5 minNew
- 990Middle-aged adult found to have growths on colon during screening colonoscopyInternal Medicine · Introductory · 5 minNew
- 991Adolescent with family history of bowel cancer and hundreds of colonic polypsInternal Medicine · Advanced · 5 minNew
- 992Young adult with early-onset colorectal cancer and a strong family history of multiple cancersInternal Medicine · Advanced · 5 minNew
- 993Adult with steroid-resistant nephrotic syndrome and progressive renal impairmentInternal Medicine · Advanced · 5 minNew
- 994Adult with rapidly worsening renal function, haematuria and hypertension over days to weeksInternal Medicine · Advanced · 5 minNew
- 995Adult with haemoptysis and rapidly declining renal functionInternal Medicine · Advanced · 5 minNew
- 996Young woman with joint pains, facial rash and new-onset proteinuriaInternal Medicine · Advanced · 5 minNew
- 997Adult woman with chronic pelvic pain and urinary urgency despite negative urine culturesInternal Medicine · Intermediate · 5 minNew
- 998Patient with perioral tingling and carpal spasm after neck surgeryInternal Medicine · Intermediate · 5 minNew
- 999Woman with fatigue, amenorrhoea and cold intolerance after a difficult deliveryInternal Medicine · Advanced · 5 minNew
- 1000Patient with confusion and low sodium found to have concentrated urineInternal Medicine · Advanced · 5 minNew
- 1001Young hypertensive patient with resistant high blood pressure and low potassiumInternal Medicine · Advanced · 5 minNew
- 1002Older woman with a longstanding, lumpy neck swelling and mild symptoms of thyrotoxicosisInternal Medicine · Introductory · 5 minNew
- 1003Middle-aged man with central obesity, raised blood pressure and abnormal lipidsInternal Medicine · Introductory · 5 minNew
- 1004Patient with a significantly elevated body mass index and joint painInternal Medicine · Introductory · 5 minNew
- 1005Critically unwell patient with a high anion gap and rising lactateInternal Medicine · Advanced · 5 minNew
- 1006Malnourished patient with muscle weakness after starting refeedingInternal Medicine · Advanced · 5 minNew
- 1007Patient on long-term diuretics with tremor, cramps and refractory low potassiumInternal Medicine · Intermediate · 5 minNew
- 1008Patient with renal failure and progressive weakness after taking laxativesInternal Medicine · Advanced · 5 minNew
- 1009Adult with sudden hoarseness following an upper respiratory infectionInternal Medicine · Introductory · 5 minNew