JT-CR-213 · Men's health and urology
Series
Head Trauma While Taking an Anticoagulant
Balances urgent CT, neurologic observation, reversal decisions, delayed bleeding risk, anticoagulant interruption, and safe discharge.
Daily clinical reasoning series
May 2026
31 case-based clinical reasoning analyses assigned to the daily casebook sequence for May 2026.
Case-series dates · May 1, 2026 to May 31, 2026
JT-CR-214 · Cancer, blood, infection, and immunity
Series
Breathlessness Years After Anthracycline Treatment
Connects remote anthracycline exposure to late cardiac dysfunction while testing ischemic, valvular, pulmonary, thrombotic, and cancer causes.
JT-CR-215 · Cancer, blood, infection, and immunity
Series
Smoking Cessation and Lung-Cancer Screening in COPD
Combines evidence based tobacco treatment with eligibility, shared decisions, annual completion, and incidental finding follow-up for low dose CT.
JT-CR-216 · Children and adolescent health
Series
Unexplained Bruising in a Child
Evaluates bruise pattern, development, trauma history, bleeding disorders, occult injury, and child safety without premature attribution.
JT-CR-217 · Diabetes and metabolic health
Series
Early Satiety and Vomiting in Diabetes
Confirms delayed gastric emptying only after excluding obstruction and addresses nutrition, glucose variability, medicines, and prokinetic risks.
JT-CR-218 · Men's health and urology
Series
Expanding Erythema With Facial Weakness
Recognizes early disseminated Lyme disease, localizes facial palsy, checks meningitic and cardiac involvement, and selects evidence based testing.
JT-CR-219 · Men's health and urology
Series
Back Pain and New Leg Weakness in a Person With Cancer
Treats new weakness with cancer-related back pain as metastatic spinal cord compression until urgent MRI and expert review define anatomy.
JT-CR-220 · Reproductive and postpartum care
Series
Breast Pain and Fever During Lactation
A lactation-focused analysis of inflammatory mastitis, bacterial infection, abscess risk, milk drainage, antibiotics, and follow-up.
JT-CR-221 · Eye, skin, and digital safety
Series
Shoulder and Hip Stiffness With Systemic Symptoms
Diagnostic calibration for polymyalgia rheumatica, giant cell arteritis, inflammatory mimics, steroid response, and relapse monitoring.
JT-CR-222 · Mental, behavioral, and substance-use health
Series
Self-Harm Thoughts After Starting an Antidepressant
Urgent assessment of new self-harm thoughts after antidepressant initiation, including intent, activation, bipolarity, means safety, and follow-up.
JT-CR-223 · Men's health and urology
Series
An Incidental Renal Mass
A renal mass analysis covering image characterization, malignancy risk, biopsy limits, surveillance, nephron preservation, and result ownership.
JT-CR-224 · Kidney, electrolytes, and digestive health
Series
Suspected Celiac Disease After Starting a Gluten-Free Diet
A celiac diagnosis analysis after gluten restriction, covering serology limits, gluten challenge, biopsy, nutritional injury, and access barriers.
JT-CR-225 · Cancer, blood, infection, and immunity
Series
Recurrent Nosebleeds While Taking Anticoagulation
Management of recurrent epistaxis during anticoagulation, balancing airway and hemorrhage control against thrombosis and reversal harms.
JT-CR-226 · Brain and neurologic health
Series
Syncope With Several QT-Prolonging Medicines
Recognition of drug-related long QT and torsades after syncope, with ECG verification, interaction review, electrolyte correction, and monitoring.
JT-CR-227 · Cancer, blood, infection, and immunity
Series
An Isolated Prolonged aPTT Before Surgery
A preoperative aPTT analysis using repeat sampling, bleeding history, mixing studies, heparin checks, factor assays, and procedure-specific risk.
JT-CR-228 · Cancer, blood, infection, and immunity
Series
Bilateral Hilar Adenopathy and Breathlessness
Diagnostic reasoning for bilateral hilar adenopathy with dyspnea, separating sarcoidosis from infection, malignancy, exposure, and cardiac disease.
JT-CR-229 · Heart and vascular care
Series
Severe Home Blood Pressures From the Wrong Cuff Size
Measurement-safety reasoning for severe home blood pressure values caused by an undersized cuff, without missing true hypertensive emergencies.
JT-CR-230 · Medicines and care safety
Series
Tongue Swelling During ACE-Inhibitor Therapy
Airway-first reasoning for ACE-inhibitor angioedema, distinguishing bradykinin swelling from anaphylaxis and preventing unsafe rechallenge.
JT-CR-231 · Musculoskeletal, sports, and rehabilitation
Series
Resting Bradycardia in a Competitive Athlete
Risk calibration for athletic bradycardia, distinguishing physiologic adaptation from conduction disease, energy deficiency, and myocarditis.
JT-CR-232 · Reproductive and postpartum care
Series
Chronic Pelvic Pain With Normal Initial Imaging
Longitudinal reasoning for chronic pelvic pain after normal imaging, integrating endometriosis, pelvic floor, bladder and bowel causes, and trauma-aware care.
JT-CR-233 · Children and adolescent health
Series
A Child Swallows a Button Battery
Time-critical management of button-battery ingestion, including immediate imaging, esophageal removal, mitigation, delayed injury, and prevention.
JT-CR-234 · Brain and neurologic health
Series
Enlarging Hands, Headache, and New Diabetes
Diagnostic reasoning for acromegaly, using IGF-1, glucose-suppressed growth hormone, pituitary imaging, visual assessment, and comorbidity care.
JT-CR-235 · Cancer, blood, infection, and immunity
Series
An Animal Bite With Uncertain Vaccination History
A bite assessment integrating wound injury, infection, tetanus protection, rabies risk, animal observation, public health, and access.
JT-CR-236 · Men's health and urology
Series
Gait Change, Urinary Urgency, and Cognitive Slowing
A normal-pressure hydrocephalus analysis using objective gait testing, brain imaging, drainage response, mimic review, and shunt-risk counseling.
JT-CR-237 · Children and adolescent health
Series
Low Milk Supply and Poor Infant Weight Gain
A paired feeding assessment for low milk supply and poor growth, distinguishing milk production, transfer, infant illness, and supplementation needs.
JT-CR-238 · Musculoskeletal, sports, and rehabilitation
Series
Atraumatic Hip Pain After Repeated Steroid Exposure
Early recognition of femoral-head osteonecrosis after cumulative steroid use, including MRI, collapse risk, infection exclusion, and joint preservation.
JT-CR-239 · Lung and sleep health
Series
Insomnia in a Rotating-Shift Worker
A circadian and occupational analysis of rotating-shift insomnia, sleepiness, drowsy-driving risk, schedule design, and adapted insomnia care.
JT-CR-240 · Brain and neurologic health
Series
A Chronic Lower-Leg Ulcer
A mechanism-based leg-ulcer assessment covering venous and arterial disease, neuropathy, infection, atypical wounds, compression, and healing.
JT-CR-241 · Aging and palliative care
Series
Weight Loss, Weakness, and Poor Dentition in Later Life
A geriatric malnutrition analysis linking oral disease, swallowing, chronic illness, mood, medicines, food access, refeeding risk, and recovery.
JT-CR-242 · Mental, behavioral, and substance-use health
Series
Hyperthermia and Rigidity After Medication Changes
Emergency differentiation of neuroleptic malignant syndrome, serotonin toxicity, malignant catatonia, heat illness, and other hypermetabolic crises.
JT-CR-243 · Children and adolescent health
Series
Pallor, Oliguria, and Thrombocytopenia After Bloody Diarrhea
Clinical reasoning for suspected hemolytic uremic syndrome after bloody diarrhea, with renal, neurologic, and hematologic risk assessment.