JT-CR-124 · Musculoskeletal, sports, and rehabilitation
Series
Painful Swelling Around a Prosthetic Joint
Distinguishing prosthetic-joint infection from aseptic failure and coordinating aspiration, cultures, surgery, and antimicrobial timing.
Daily clinical reasoning series
February 2026
28 case-based clinical reasoning analyses assigned to the daily casebook sequence for February 2026.
Case-series dates · February 1, 2026 to February 28, 2026
JT-CR-125 · Men's health and urology
Series
Acute Continuous Vertigo and Vomiting
Distinguishing vestibular neuritis from posterior circulation stroke while respecting bedside-exam and early-imaging limitations.
JT-CR-126 · Reproductive and postpartum care
Series
Gestational Diabetes Across Pregnancy and Postpartum
Connecting gestational diabetes testing, fetal and maternal risk, treatment escalation, delivery planning, and postpartum prevention.
JT-CR-127 · Musculoskeletal, sports, and rehabilitation
Series
A Red, Exquisitely Tender First Toe Joint
Distinguishing gout from septic arthritis, trauma, CPPD, and cellulitis while interpreting crystals and comorbidity.
JT-CR-128 · Children and adolescent health
Series
Food Restriction, Bradycardia, and Dizziness
Recognizing medical instability in restrictive eating, preventing refeeding harm, and balancing confidentiality with family-supported safety.
JT-CR-129 · Kidney, electrolytes, and digestive health
Series
CKD With Acidosis and Bone-Mineral Abnormalities
Integrating CKD progression, metabolic acidosis, potassium, phosphate, PTH, bone risk, medicines, and referral decisions.
JT-CR-130 · Kidney, electrolytes, and digestive health
Series
Painless Jaundice and Weight Loss
Evaluating pancreatic and biliary obstruction through cholestatic patterns, staged imaging, tissue strategy, drainage, and resectability.
JT-CR-131 · Children and adolescent health
Series
Infant Eczema With Crusting and Feeding Restrictions
Treating infected eczema and barrier failure while correcting unsupported food avoidance and protecting infant nutrition.
JT-CR-132 · Aging and palliative care
Series
Coughing During Meals in Advanced Cognitive Disease
Evaluating dysphagia and aspiration while addressing reversible factors, feeding support, comfort, and goals in advanced cognitive disease.
JT-CR-133 · Cancer, blood, infection, and immunity
Series
Falling Platelets After Heparin Exposure
Applying HIT probability, stopping all heparin, selecting alternative anticoagulation, and interpreting immunoassay and functional tests.
JT-CR-134 · Lung and sleep health
Series
Progressive Dyspnea With Interstitial Opacities
Integrating exposure, autoimmune, physiologic, and HRCT data to classify interstitial lung disease before treatment.
JT-CR-135 · Medicines and care safety
Series
A Critical Result Released to the Portal Before Follow-Up
Designing result ownership, urgent outreach, portal communication, escalation, and audit after a critical finding reaches the patient first.
JT-CR-136 · Men's health and urology
Series
Sudden Severe Scrotal Pain and Suspected Torsion
Prioritizing testicular torsion over epididymitis, hernia, trauma, and other causes when ultrasound could delay salvage.
JT-CR-137 · Reproductive and postpartum care
Series
Palpitations and Breathlessness During Pregnancy
Separating physiologic pregnancy change from arrhythmia, anemia, thyroid disease, pulmonary embolism, and peripartum cardiomyopathy.
JT-CR-138 · Musculoskeletal, sports, and rehabilitation
Series
New Proximal Weakness During Statin Therapy
Distinguishing common statin muscle symptoms from rhabdomyolysis, immune necrotizing myopathy, endocrine disease, and deconditioning.
JT-CR-139 · Children and adolescent health
Series
A Toddler Refusing Fluids During Gastroenteritis
Grading dehydration, delivering oral or nasogastric rehydration, identifying dangerous mimics, and setting safe discharge criteria.
JT-CR-140 · Men's health and urology
Series
Headache and Visual-Field Loss With a Pituitary Mass
Protecting vision and adrenal function while characterizing a pituitary mass, hormone excess or deficiency, and surgical urgency.
JT-CR-141 · Cancer, blood, infection, and immunity
Series
Recurrent Diarrhea After C. difficile Treatment
Distinguishing recurrent C. difficile infection from colonization, post-infectious symptoms, and other diarrhea while applying stewardship.
JT-CR-142 · Men's health and urology
Series
Acute Facial Weakness With Ear Pain
Separating Bell palsy from stroke, Ramsay Hunt syndrome, Lyme disease, otologic infection, and other facial-nerve causes.
JT-CR-143 · Reproductive and postpartum care
Series
Postmenopausal Bleeding Requiring Timely Endometrial Evaluation
Evaluating endometrial cancer risk with ultrasound and biopsy while ensuring persistent or recurrent bleeding reaches definitive follow-up.
JT-CR-144 · Emergency and acute care
Series
Back Pain, Fever, and Injection Drug Use
Recognizing spinal epidural abscess and vertebral infection through neurologic examination, cultures, MRI, and rapid source control.
JT-CR-145 · Mental, behavioral, and substance-use health
Series
Dependence on Long-Term Prescribed Benzodiazepines
Distinguishing physiologic dependence from use disorder and building an individualized taper around withdrawal, co-use, and anxiety.
JT-CR-146 · Cancer, blood, infection, and immunity
Series
Persistent Hoarseness in a Smoker
Escalating persistent dysphonia to laryngeal visualization while considering malignancy, vocal-fold dysfunction, reflux assumptions, and airway risk.
JT-CR-147 · Aging and palliative care
Series
Frailty Before Major Elective Surgery
Using frailty, cognition, function, medication, goals, and prehabilitation to improve elective-surgery decisions beyond age alone.
JT-CR-148 · Emergency and acute care
Series
Smoke Inhalation With a Normal Pulse-Oximeter Reading
Recognizing carbon monoxide, cyanide, delayed airway edema, and lower-airway injury despite deceptively normal pulse oximetry.
JT-CR-149 · Heart and vascular care
Series
Abdominal Pain Out of Proportion to Examination
A high-risk abdominal pain analysis on early mesenteric ischemia, lactate limits, CTA, and time-sensitive revascularization.
JT-CR-150 · Heart and vascular care
Series
Exertional Breathlessness With a Harsh Systolic Murmur
A structured approach to suspected aortic stenosis, symptom attribution, echocardiography, severity, and timely valve referral.
JT-CR-151 · Cancer, blood, infection, and immunity
Series
Persistent Generalized Lymphadenopathy With Constitutional Symptoms
A probability-led evaluation of generalized lymphadenopathy spanning infection, autoimmunity, malignancy, node choice, and biopsy.