JT-CR-001 · Emergency and acute care
Series
Nonclassic Chest Discomfort in Urgent Care
An original case on recognizing possible acute coronary syndrome when the first description sounds like indigestion rather than chest pain.
Daily clinical reasoning series
October 2025
31 case-based clinical reasoning analyses assigned to the daily casebook sequence for October 2025.
Case-series dates · October 1, 2025 to October 31, 2025
JT-CR-002 · Cancer, blood, infection, and immunity
Series
Iron-Deficiency Anemia in Ambulatory Care
An original adult case on confirming iron deficiency, finding its cause, and reasoning through gastrointestinal blood loss and celiac disease.
JT-CR-003 · Aging and palliative care
Series
Falls, Dizziness, and Orthostatic Hypotension
An original older-adult case linking recurrent falls, postural symptoms, medication burden, mobility, and a tailored prevention plan.
JT-CR-004 · Children and adolescent health
Series
Fever in a Young Infant Without a Clear Source
An original case on age-banded evaluation, invasive infection risk, lumbar puncture uncertainty, and safe follow-up for infant fever.
JT-CR-005 · Mental, behavioral, and substance-use health
Series
Adolescent Depression, Safety, and Confidentiality
An original case on depression assessment, suicide safety, caregiver involvement, confidential care, and closed-loop follow-up.
JT-CR-006 · Reproductive and postpartum care
Series
Pain and Bleeding in Early Pregnancy
An original case on pregnancy of unknown location, ectopic danger, serial hCG limits, repeat ultrasound, and safe follow-up.
JT-CR-007 · Kidney, electrolytes, and digestive health
Series
Acute Kidney Injury With a Rising Potassium
An original inpatient case on acute kidney injury, dangerous hyperkalemia, temporary stabilization, potassium removal, and reassessment.
JT-CR-008 · Brain and neurologic health
Series
New Confusion During an Inpatient Stay
An original older-adult case on recognizing delirium, finding interacting causes, avoiding reflex treatment, and planning a safe transition.
JT-CR-009 · Lung and sleep health
Series
Chronic Cough at a Telehealth Visit
An original adult case on chronic-cough triage by video, red flags, in-person testing, treatable traits, and explicit telehealth limits.
JT-CR-010 · Children and adolescent health
Series
Childhood Asthma Control at Home and School
An original case on recognizing poor childhood asthma control and building one workable safety plan across home, school, sports, and two caregiving households.
JT-CR-011 · Medicines and care safety
Series
Medication Reconciliation After Heart Failure Discharge
A case on resolving discordant heart-failure medicine lists while monitoring volume, blood pressure, kidney function, and potassium.
JT-CR-012 · Prevention, rural health, and care systems
Series
Prioritizing Prevention When Visit Time Is Short
A case on prioritizing prevention when records are incomplete, time is limited, and completing screening requires more than placing orders.
JT-CR-013 · Kidney, electrolytes, and digestive health
Series
Fever, Jaundice, and Right-Upper-Quadrant Pain
An original emergency case on recognizing acute cholangitis, separating biliary mimics, and coordinating urgent drainage and sepsis care.
JT-CR-014 · Diabetes and metabolic health
Series
New Diabetes With Weight Loss and Ketosis
An original adult case on diabetic ketoacidosis triage, safe metabolic correction, and diabetes classification after the crisis.
JT-CR-015 · Cancer, blood, infection, and immunity
Series
Fever During Chemotherapy Before the Neutrophil Count Is Known
An original case on urgent fever triage during cytotoxic chemotherapy, source evaluation, antimicrobial timing, and disposition uncertainty.
JT-CR-016 · Musculoskeletal, sports, and rehabilitation
Series
The Hot Swollen Knee and the Aspiration Decision
An original case on septic arthritis, crystal mimics, urgent aspiration, synovial-test interpretation, treatment, and safety planning.
JT-CR-017 · Eye, skin, and digital safety
Series
Painful Red Eye With Photophobia and Reduced Vision
An original urgent-care case on separating microbial keratitis from angle closure, uveitis, scleritis, and common red-eye mimics.
JT-CR-018 · Emergency and acute care
Series
Altered Mental Status After an Unknown Ingestion
An original emergency case on stabilization, toxidrome reasoning, test limits, poison-center coordination, and safe disposition.
JT-CR-019 · Men's health and urology
Series
Lower Urinary Tract Symptoms With New Hematuria
An original case on lower urinary tract symptoms, retention risk, visible hematuria, medication safety, and accountable urology follow-up.
JT-CR-020 · Men's health and urology
Series
A Painless Testicular Mass and Fertility Priorities
An original case on a painless testicular mass, urgent ultrasound, tumor-marker limits, fertility preservation, and closed-loop referral.
JT-CR-021 · Mental, behavioral, and substance-use health
Series
Planning Alcohol Cessation When Withdrawal Risk Is High
An original case on predicting severe alcohol withdrawal, choosing level of care, medication safety, warm handoffs, and continuing treatment.
JT-CR-022 · Mental, behavioral, and substance-use health
Series
Opioid Use Disorder Across a Hospital-to-Clinic Transition
An original case on OUD treatment continuity, withdrawal, overdose prevention, pain, naloxone, stigma, and a closed-loop hospital handoff.
JT-CR-023 · Aging and palliative care
Series
Breathlessness During Serious Illness at Home
An original case on reversible causes of palliative dyspnea, symptom relief, opioid safety, goals, caregiver capacity, and home crisis planning.
JT-CR-024 · Aging and palliative care
Series
Nausea and Constipation During Serious Illness
An original case on cause-directed nausea and constipation assessment, obstruction, medication burden, deprescribing, antiemetic safety, and home follow-up.
JT-CR-025 · Kidney, electrolytes, and digestive health
Series
Mixed Acid-Base Disturbance After a High-Output Ostomy
An original case on high ostomy output, mixed acid-base interpretation, kidney injury, replacement, and safer post-discharge monitoring.
JT-CR-026 · Prevention, rural health, and care systems
Series
Longitudinal Multimorbidity When Rural Follow-Up Is Limited
An original case on competing guideline burdens, deprescribing, feasible rural monitoring, shared goals, and closed-loop escalation.
JT-CR-027 · Lung and sleep health
Series
Pulmonary Nodule Follow-Up Across Rural Systems
An original case on nodule risk, guideline scope, prior-image retrieval, rural imaging access, shared decisions, and closed-loop follow-up.
JT-CR-028 · Musculoskeletal, sports, and rehabilitation
Series
Pressure Injury Risk, Access, and Wheelchair Seating
An original case on accessible skin assessment, pressure injury staging, infection risk, seating, nutrition, continence, equipment, and home prevention.
JT-CR-029 · Eye, skin, and digital safety
Series
An Ungradable Retinal Screening Image and Closed-Loop Referral
An original case on image quality, non-diagnostic screening, closed-loop referral, and equitable follow-through.
JT-CR-030 · Brain and neurologic health
Series
The Transition Home After Stroke Rehabilitation
An original case on stroke discharge home, prevention, swallowing, mobility, communication, caregiver training, equipment, and rural follow-up.
JT-CR-031 · Musculoskeletal, sports, and rehabilitation
Series
Deconditioning and Recovery After Critical Illness
An original case on post-ICU weakness, differential diagnosis, cognitive and emotional recovery, rehabilitation, nutrition, medicines, and home safety.