JT-CR-274 · Cancer, blood, infection, and immunity
Series
Fever, Splenomegaly, and Cytopenias
Recognition of possible hemophagocytic lymphohistiocytosis using trends, organ injury, trigger search, and early hematology coordination.
Daily clinical reasoning series
July 2026
20 case-based clinical reasoning analyses assigned to the daily casebook sequence for July 2026.
Case-series dates · July 1, 2026 to July 20, 2026
JT-CR-275 · Cancer, blood, infection, and immunity
Series
Acute Hypoxemia After Vaping
A vaping-associated lung injury analysis that prioritizes oxygenation, confidential exposure history, infection exclusion, and close follow-up.
JT-CR-276 · Heart and vascular care
Series
Duplicate Anticoagulants Across Multiple Patient Portals
A medication-safety analysis of possible duplicate anticoagulants using source reconciliation, exposure timing, bleeding assessment, and repair.
JT-CR-277 · Eye, skin, and digital safety
Series
A Chemical Splash to the Eye
Immediate chemical-eye injury reasoning centered on irrigation, serial pH, particle removal, limbal assessment, and urgent ophthalmology.
JT-CR-278 · Brain and neurologic health
Series
Syncope With a Prolonged QT and a Family History of Seizures
An arrhythmic-syncope analysis using manual QT review, medication and electrolyte correction, telemetry, and inherited-risk assessment.
JT-CR-279 · Men's health and urology
Series
Irresistible Daytime Sleep Episodes
A hypersomnolence analysis using sleep opportunity, cataplexy history, overnight testing, valid MSLT conditions, and driving safety.
JT-CR-280 · Children and adolescent health
Series
New Bedwetting in a School-Age Child
A nonpunitive evaluation of secondary bedwetting using prior dryness, urine testing, bowel and sleep review, and family goals.
JT-CR-281 · Brain and neurologic health
Series
Episodic Headache, Sweating, and Palpitations
A pheochromocytoma analysis using spell context, metanephrine collection conditions, medication review, imaging, and inherited risk.
JT-CR-282 · Eye, skin, and digital safety
Series
Migratory Joint Pain, Tenosynovitis, and a Pustular Rash
Recognition of disseminated gonococcal infection using multisite testing, blood and synovial cultures, joint assessment, and partner care.
JT-CR-283 · Men's health and urology
Series
Progressive Hand Clumsiness and Gait Imbalance
Recognition of degenerative cervical myelopathy using upper-motor-neuron findings, functional change, MRI, and timely spine referral.
JT-CR-284 · Reproductive and postpartum care
Series
Persistent Bleeding After Pregnancy Loss
Management reasoning for ongoing bleeding after pregnancy loss using hemodynamics, ultrasound, pregnancy location, infection, and support.
JT-CR-285 · Musculoskeletal, sports, and rehabilitation
Series
Heel Pain in a High-Mileage Athlete
A calcaneal stress-injury analysis using focal loading pain, early imaging limits, training load, nutrition, and return criteria.
JT-CR-286 · Mental, behavioral, and substance-use health
Series
Stimulant Misuse, Anxiety, and Insomnia During an ADHD Reassessment
A nonpunitive ADHD reassessment integrating extra stimulant use, anxiety, sleep, cardiovascular safety, substance risk, and function.
JT-CR-287 · Children and adolescent health
Series
Eyelid Swelling and Painful Eye Movement in a Child
Recognition of orbital cellulitis using vision, pupils, eye movement, proptosis, imaging, antibiotics, and surgical coordination.
JT-CR-288 · Aging and palliative care
Series
Feeding Decisions in Advanced Dementia
A goals-based advanced-dementia feeding analysis integrating reversible causes, assisted oral feeding, aspiration, and surrogate decisions.
JT-CR-289 · Lung and sleep health
Series
Massive Hemoptysis With Worsening Oxygenation
Management of life-threatening hemoptysis centered on airway protection, bleeding-side positioning, CTA, bronchoscopy, and embolization.
JT-CR-290 · Men's health and urology
Series
Diplopia, Dysphagia, and Descending Weakness After Preserved Food
Recognition and emergency management of foodborne botulism through cranial neuropathies, respiratory monitoring, antitoxin, and outbreak control.
JT-CR-291 · Reproductive and postpartum care
Series
Heavy Bleeding and Shock Soon After Vaginal Birth
Stage-based reasoning for primary postpartum hemorrhage, including rapid cause assessment, uterotonics, tranexamic acid, transfusion, and source control.
JT-CR-292 · Cancer, blood, infection, and immunity
Series
Rapidly Worsening Leg Pain and Toxicity After a Minor Wound
Systems reasoning for suspected necrotizing soft tissue infection, linking early recognition, resuscitation, antibiotics, and urgent surgical transfer.
JT-CR-293 · Lung and sleep health
Series
Cough and Wheeze That Ease on Days Away From Work
Continuity reasoning for work-related asthma, using serial peak flow diaries, removal from the causative agent, and long-term follow-through.