A 54-year-old man with slowness of movement and confusion

A 54 -Year-Old Man with Cough and Dyspnea

A 54-year-old male, farmer with a history of dyspnea from 10 years ago, developed increased sputum production, coughing and bloodstreaked sputum and hospitalized for further investigations. He was a current smoker (17pack/year) and oral opium addict. Spirometry revealed severe airflow obstruction with FVC: 45%, FEV1: 31%, and FEV1/FVC: 51%. Considering cheat x-ray findings, the patient underwen...

A 50 Year Old Man with Fever and Abdominal Pain

The patient is a 50-year-old man who has been diagnosed with abdominal pain, fever, shivering and constipation with nausea and vomiting with a possible diagnosis of typhoid. Computed tomography (CT) of the abdomen and pelvis was performed by injection of contrast agent for the patient. What is your diagnosis?

A 54-year-old diabetic man with low serum cholesterol.

A 54-year-old asymptomatic man with a 5-year history of type 2 diabetes mellitus (T2DM) was found to have an extremely low serum cholesterol concentration. He had no history of major childhood illness, malabsorption, or any cardiovascular or neurologic dysfunction. He had smoked for 30 years and was not using alcohol or any lipid-lowering drugs. Additionally, he was not a vegetarian. His family...

Confusion and lethargy in a 48 year old man.

A 48 year old retired fireman was admitted with a one week history of confusion, lethargy, and generalised weakness. This was associated with a non-productive cough for which he had been prescribed oral amoxycillin. He had a history of hypertension and was on lisinopril 20 mg daily. He was a smoker of 30 pack years and consumed 30 units of alcohol per week. On admission his temperature was 37.7...

Chest pain in a 54-year-old man.