Pericardial disease and myocarditis

A 24-year-old man with schizophrenia has been taking clozapine for 17 days, titrated to 250 mg daily after two other antipsychotics failed. He reports three day…

Clinical rotations · middle twist

A 23-year-old man with treatment-resistant schizophrenia started clozapine eighteen days ago and now takes 250 mg daily. He tells the nurse he feels as though h…

Clinical rotations · middle twist

A 24-year-old man with treatment-resistant schizophrenia is on day 18 of clozapine, now 250 mg at night. He is febrile at 38.4 degrees Celsius with a pulse of 1…

Pre-internship · niche

A 56-year-old man develops sharp central chest pain 36 hours after an uncomplicated inferior myocardial infarction. The pain is worse when he lies flat or takes…

Clinical rotations · middle twist

A 59-year-old woman develops sharp central chest pain two days after an uncomplicated ST-elevation myocardial infarction. She says it is worse when she takes a…

Mechanisms of disease · middle twist

A 39-year-old male presents to the emergency department with sudden onset of pleuritic chest pain that worsens with a supine position and relieves with leaning…

Mechanisms of disease · common