JT-CR-062 · Reproductive and postpartum care
Series
Headache and Right-Upper-Quadrant Pain Late in Pregnancy
Recognizes preeclampsia with severe features and HELLP while coordinating maternal stabilization, fetal assessment, and delivery planning.
Daily clinical reasoning series
December 2025
31 case-based clinical reasoning analyses assigned to the daily casebook sequence for December 2025.
Case-series dates · December 1, 2025 to December 31, 2025
JT-CR-063 · Musculoskeletal, sports, and rehabilitation
Series
Sudden Calf Pain During a Run
Distinguishes muscle injury, ruptured Baker cyst, thrombosis, and compartment syndrome while planning safe return to activity.
JT-CR-064 · Mental, behavioral, and substance-use health
Series
First-Episode Psychosis With Recent Substance Exposure
Evaluates first psychosis across toxic, medical, mood, delirium, and primary psychotic causes while addressing safety and capacity.
JT-CR-065 · Kidney, electrolytes, and digestive health
Series
Generalized Edema and Heavy Proteinuria
Frames nephrotic syndrome through edema physiology, secondary causes, thrombosis and infection risk, and biopsy decision-making.
JT-CR-066 · Kidney, electrolytes, and digestive health
Series
Acute Epigastric Pain Radiating to the Back
Confirms acute pancreatitis, identifies cause and severity, and calibrates fluids, nutrition, imaging, and complication monitoring.
JT-CR-067 · Eye, skin, and digital safety
Series
Sudden Painless Vision Loss in One Eye
Treats acute monocular vision loss as an ocular and vascular emergency while separating retinal and media causes.
JT-CR-068 · Mental, behavioral, and substance-use health
Series
Progressive Memory Change and Missed Bills
Evaluates cognitive decline through function, reversible contributors, collateral history, driving, caregiving, and supported decisions.
JT-CR-069 · Cancer, blood, infection, and immunity
Series
Fever, Bruising, and Pancytopenia: Marrow Emergency
Recognizes neutropenic sepsis and marrow emergencies while distinguishing leukemia, aplasia, medicines, infection, and destructive causes.
JT-CR-070 · Cancer, blood, infection, and immunity
Series
Coughing Up Blood With a Normal Initial Radiograph
Verifies true hemoptysis, protects the airway, and localizes malignant, infectious, inflammatory, and vascular causes despite normal radiography.
JT-CR-071 · Medicines and care safety
Series
A High-Severity Medication Alert Hidden in Alert Fatigue
Verifies a dangerous interaction while redesigning clinical decision support to reduce false positives and preserve escalation reliability.
JT-CR-072 · Mental, behavioral, and substance-use health
Series
Confusion During a Hot-Weather Endurance Event
Recognizes exertional heat stroke, prioritizes immediate cooling, and separates hyponatremia, exhaustion, and other collapse mechanisms.
JT-CR-073 · Diabetes and metabolic health
Series
Resistant Hypertension and Low Potassium
Plans primary aldosteronism screening, accounts for medication interference, confirms subtype, and reduces long-term cardiovascular risk.
JT-CR-074 · Aging and palliative care
Series
Unintentional Weight Loss in an Older Adult
Investigates weight loss through malignancy, mood, oral health, medicines, endocrine disease, function, and food access.
JT-CR-075 · Children and adolescent health
Series
Fever and Refusal to Bear Weight in a Child
Prioritizes septic hip and osteomyelitis while distinguishing transient synovitis, trauma, and malignancy without delaying aspiration.
JT-CR-076 · Diabetes and metabolic health
Series
Hypotension After Abruptly Stopping Long-Term Steroids
Recognizes adrenal crisis, treats before confirmation, preserves sepsis evaluation, and prevents recurrence through safe steroid transitions.
JT-CR-077 · Cancer, blood, infection, and immunity
Series
Fever, a New Murmur, and Injection Drug Use
Coordinates endocarditis cultures, imaging, embolic assessment, source control, and evidence-based addiction care without stigma.
JT-CR-078 · Brain and neurologic health
Series
Fatigable Ptosis and Diplopia: Neuromuscular Localization
Distinguishes myasthenia from brainstem, thyroid, orbital, and cranial nerve disease while monitoring respiratory and medication hazards.
JT-CR-079 · Reproductive and postpartum care
Series
Postpartum Fever and Uterine Tenderness
Treats postpartum endometritis while separating retained tissue, urinary, wound, breast, thrombotic, and septic complications.
JT-CR-080 · Eye, skin, and digital safety
Series
New Temporal Headache and Jaw Claudication
Recognizes giant cell arteritis, protects vision before confirmation, and coordinates ultrasound or biopsy with polymyalgia assessment.
JT-CR-081 · Mental, behavioral, and substance-use health
Series
Little Sleep, Grandiosity, and Risky Spending
Distinguishes mania from substances, thyroid disease, psychosis, and delirium while selecting the least restrictive safe setting.
JT-CR-082 · Men's health and urology
Series
Visible Hematuria After an Upper-Respiratory Illness
Localizes glomerular bleeding, evaluates IgA nephropathy and nephritic urgency, and preserves urologic assessment when features conflict.
JT-CR-083 · Kidney, electrolytes, and digestive health
Series
Progressive Difficulty Swallowing Solids: Obstruction Assessment
Evaluates mechanical obstruction, cancer, eosinophilic disease, and motility while protecting nutrition and aspiration safety.
JT-CR-084 · Eye, skin, and digital safety
Series
Forehead Vesicles and Eye Pain
Recognizes ophthalmic zoster, starts timely antiviral care, and coordinates urgent eye evaluation despite limited bedside examination.
JT-CR-085 · Kidney, electrolytes, and digestive health
Series
Confusion and Urinary Retention After a Medication Change
Identifies anticholinergic toxicity, delirium, constipation, and obstruction while using safe deprescribing and transition follow-through.
JT-CR-086 · Cancer, blood, infection, and immunity
Series
Persistent Incidental Lymphocytosis: Clonal Risk Assessment
Separates reactive from clonal lymphocytosis through trend, smear, flow cytometry, red flags, and proportionate surveillance.
JT-CR-087 · Eye, skin, and digital safety
Series
Daytime Sleepiness, Snoring, and a Near-Miss Crash
Evaluates obstructive sleep apnea, insufficient sleep, narcolepsy, sedatives, and driving risk after a near-miss collision.
JT-CR-088 · Medicines and care safety
Series
Diagnostic Closure During a Language-Discordant Visit
Uses professional interpretation, teach-back, symptom reconstruction, and record design to recover missed diagnostic information safely.
JT-CR-089 · Reproductive and postpartum care
Series
New Postpartum Breathlessness and Orthopnea
Recognizes peripartum cardiomyopathy while evaluating pulmonary embolism, preeclampsia complications, infection, and physiologic recovery.
JT-CR-090 · Brain and neurologic health
Series
Claudication With a Nonhealing Toe Wound
Recognizes chronic limb-threatening ischemia, excludes acute limb danger, and integrates perfusion, wound, neuropathy, and revascularization care.
JT-CR-091 · Diabetes and metabolic health
Series
Polyuria, Constipation, and Hypercalcemia: Etiologic Assessment
Confirms clinically meaningful hypercalcemia and separates parathyroid, malignant, medication, and volume-related causes using targeted physiology.
JT-CR-092 · Children and adolescent health
Series
Bilious Vomiting in a Newborn
Treats green emesis as surgical obstruction until proven otherwise, prioritizing stabilization, urgent imaging, and neonatal surgery coordination.