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Filter by anatomical region if you think anatomically, or by specialty if you think by discipline. Both filters combine.
Acute ACL Tear vs Meniscal Lesion
24-year-old recreational soccer player with acute right knee pain and swelling after a pivoting injury 2 days ago.
Six weeks of shoulder pain in a painter
52-year-old right-hand-dominant painter with 6 weeks of progressive right shoulder pain worse at night and with overhead activity.
Radiating leg pain after a lifting incident
38-year-old warehouse worker with 3 weeks of low back pain radiating down the posterior right leg to the foot.
Hip Osteoarthritis vs Trochanteric Bursitis
66-year-old retired teacher with 9 months of progressive right groin and anterior thigh pain, worse with walking.
Lateral elbow pain in a weekend tennis player
44-year-old office worker and weekend tennis player with 8 weeks of lateral right elbow pain.
Acute ankle injury — sprain vs fibular fracture
22-year-old university student twisted their right ankle playing basketball 4 hours ago; now painful and swollen.
Exertional chest tightness in a 62-year-old
62-year-old man with 3 months of central chest tightness on exertion, relieved by rest. No radiation, no diaphoresis, no rest symptoms.
Sudden crushing chest pain and diaphoresis
58-year-old man with 90 minutes of continuous central crushing chest pain radiating to the left arm and jaw, associated with sweating, nausea and shortness of breath.
Progressive breathlessness and leg swelling
74-year-old woman with 3 weeks of progressively worsening shortness of breath, unable to lie flat, waking at night gasping, and swollen legs.
Recurrent chest and left arm heaviness with overhead activity
34-year-old right-hand-dominant competitive tennis player with 6 months of recurrent left-sided chest heaviness, arm tingling, and easy fatigue — provoked by serving and overhead work, relieved by lowering the arm. Two normal cardiac workups already.
Three months of morning stiffness in the hands
42-year-old woman with 3 months of progressive bilateral hand and wrist pain, morning stiffness lasting more than an hour, and difficulty gripping.
Wake-in-agony big-toe pain overnight
55-year-old man woken at 3am with severe pain, redness and swelling of the right first metatarsophalangeal joint. Cannot bear a bedsheet on the foot.
Six weeks of bilateral shoulder and hip girdle stiffness
72-year-old woman with 6 weeks of bilateral shoulder and hip girdle pain and stiffness, worst first thing in the morning, lasting more than an hour.
Sudden right-arm weakness and slurred speech
68-year-old man brought in by his wife with sudden right-sided arm weakness and slurred speech that started 55 minutes ago while eating breakfast.
Bilateral leg symptoms and saddle numbness after lifting
38-year-old warehouse worker with 24 hours of severe low back pain radiating into both legs, new numbness around the perineum, and inability to pass urine since last night.
Attacks of severe right-eye headache with tearing and nasal blockage
34-year-old man with 2 weeks of nightly attacks of excruciating right-eye pain lasting an hour, with tearing, nasal blockage, and a droopy right eyelid. Wakes him 90 minutes after falling asleep.
Migratory RIF pain in a 22-year-old with fever
22-year-old man with 26 hours of abdominal pain that began periumbilically and has now settled in the right iliac fossa, with anorexia, nausea, and a low-grade fever.
Coffee-ground vomiting and melaena in a 58-year-old
58-year-old man brought in after two episodes of coffee-ground vomiting overnight and three black tarry stools since yesterday, with light-headedness on standing.
Severe abdominal pain out of proportion to signs in an 80-year-old with AF
80-year-old woman with 6 hours of sudden-onset, severe, generalised abdominal pain that is dramatically worse than her examination suggests. History of atrial fibrillation, recently stopped anticoagulation for a dental procedure.
Progressive lower-limb weakness and tingling in a 64-year-old vegetarian
64-year-old woman with 6 months of progressive fatigue, unsteady gait, and tingling in both feet climbing up the shins. Difficulty with buttons and dropping objects for the past 8 weeks.
Fever and cough with one-sided chest pain
58-year-old man with 4 days of fever, productive cough with rusty sputum, and sharp right-sided chest pain worse on inspiration.
Sudden wheeze and breathlessness in a known asthmatic
27-year-old woman with known asthma presenting with 6 hours of worsening wheeze, tight chest, and inability to complete sentences in a single breath.
Smoker with worsening breathlessness and green sputum
68-year-old ex-smoker (50 pack-years) with 5 days of increasing breathlessness, increased sputum volume, and change in sputum colour from clear to green.
Sudden breathlessness and pleuritic chest pain after a long flight
41-year-old woman with sudden-onset breathlessness and sharp right-sided pleuritic chest pain, 3 days after returning from a 14-hour flight.
Sudden chest pain and breathlessness in a tall young man
22-year-old tall, thin man with sudden-onset left-sided chest pain and shortness of breath that came on while scrolling his phone an hour ago.
Six months of low back pain not settling with physio
72-year-old man with 6 months of mid-lower back pain despite 12 physiotherapy sessions. Pain is worse at night and he has lost 4 kg without trying.
Band-like mid-back pain treated as a muscle strain
52-year-old woman with 10 weeks of mid-thoracic pain that started after gardening. Pain is now constant, worst at night, and wrapping around to the front of her chest.
Right shoulder pain and hand tingling that physio isn't fixing
64-year-old man with 4 months of right shoulder and medial arm pain that didn't improve with 10 physio sessions. In the past 3 weeks he's noticed tingling along the inside of his right forearm and 4th/5th fingers.
Progressive clumsiness and burning feet in a 28-year-old
28-year-old woman with 4 months of progressively unsteady gait, numb and 'burning' feet, and new clumsiness buttoning clothes. She has already seen two clinicians who considered multiple sclerosis.
Shoulder Pain
24-year-old right-hand-dominant recreational weightlifter and former offensive lineman reports 6 months of deep, aching posterior right shoulder pain that worsens with bench pressing, push-ups, and blocking-type movements, along with an intermittent sensation that the shoulder 'slides out of place' and 'clunks' during these activities.
Lateral elbow pain in a weekend tennis player (copy)
44-year-old office worker and weekend tennis player with 8 weeks of lateral right elbow pain.
Foot Pain
54-year-old man presents with sudden, severe pain and swelling of the right big toe that began overnight, awakening him from sleep; even light contact with bedsheets is intolerable.
Rapidly worsening back pain in a warehouse worker
34-year-old warehouse worker with 5 days of severe low back pain, now with new numbness around the groin and difficulty passing urine.
New severe low back pain in a 71-year-old smoker
71-year-old male smoker with 24 hours of severe tearing low back pain, no injury, feeling faint on standing.
Persistent shoulder and inner-arm pain in a long-term smoker
62-year-old smoker with 3 months of relentless right shoulder pain radiating down the inner arm, worse at night, unresponsive to physiotherapy.
Progressive mid-back pain in a 68-year-old
68-year-old retiree with 8 weeks of progressive thoracic mid-back pain, worse at night, plus fatigue and unintentional weight loss.
Four months of central low back pain in an office worker
38-year-old office worker with 4 months of central lower back pain worse with prolonged sitting, forward bending and coughing.
Low back pain with a heavy right leg in a labourer
45-year-old warehouse labourer with 6 weeks of lower back pain that now shoots down the back of the right leg to the outer foot.
Chronic low back pain worse with standing in a groundskeeper
52-year-old groundskeeper with 3 months of unilateral right-sided low back pain aggravated by standing, walking downhill and lumbar extension.
Right hand tingling and forearm ache in a carpenter
42-year-old right-hand-dominant carpenter with 6 weeks of tingling in the right thumb, index and middle fingers, worse after long days on the job. Also complains of a dull ache in the volar forearm.