WhatsDx.today
Hard Saturday, Sep 12 Pulmonology
đŸ‘Ĩ 42 Clinical Minds solved this

Recurrent Wheeze

19F has episodic wheezing, chest tightness and cough, worse at night and after dust exposure. Between attacks she is completely well. This is a teaching case selected for the September 2026 daily challenge.
VITALS: SpO2 98% room air

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Bronchial asthma
Key Insight

Variable, reversible respiratory symptoms with nocturnal and trigger-related attacks strongly indicate bronchial asthma. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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Recurrent Wheeze
Pulmonology â€ĸ 2026-09-12
○
Raised JVP and Edema
Cardiology â€ĸ 2026-09-11
○
Holosystolic Apical Murmur
Cardiology â€ĸ 2026-09-10
○
Opening Snap
Cardiology â€ĸ 2026-09-09
○
Syncope with Harsh Murmur
Cardiology â€ĸ 2026-09-08
○
Saw-Tooth Rhythm
Cardiology â€ĸ 2026-09-07
○
Irregularly Irregular Pulse
Cardiology â€ĸ 2026-09-06
○
Sudden Collapse with Palpitations
Cardiology â€ĸ 2026-09-05
○
Pain Worse on Inspiration
Cardiology â€ĸ 2026-09-04
○
Crushing Chest Pain
Cardiology â€ĸ 2026-09-03
○
Exertional Chest Pain
Medicine â€ĸ 2026-09-02
○
Fear of Social Evaluation
Psychiatry â€ĸ 2026-09-01
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Trauma Flashbacks
Psychiatry â€ĸ 2026-08-31
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Pruritus After Hot Bath
Pathology â€ĸ 2026-08-30
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Massive Splenomegaly with High WBC
Pathology â€ĸ 2026-08-29
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Mature Lymphocytosis
Pathology â€ĸ 2026-08-28
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Fever, Dysuria and Perineal Pain
Urology â€ĸ 2026-08-27
○
Painless Enlarged Testis
Urology â€ĸ 2026-08-26
○
Painful Shoulder with Limited Movement
Orthopedics â€ĸ 2026-08-25
○
Hot Swollen Knee with Fever
Orthopedics â€ĸ 2026-08-24
○
Cough with Post-Tussive Vomiting
Infectious Disease â€ĸ 2026-08-23
○
Eschar with Fever
Infectious Disease â€ĸ 2026-08-22
○
Mucosal Bleeding in Young Woman
Hematology â€ĸ 2026-08-21
○
Bleeding with Prolonged aPTT
Hematology â€ĸ 2026-08-20
○
Hypopigmented Scaly Macules
Dermatology â€ĸ 2026-08-19
○
Depigmented Patches
Dermatology â€ĸ 2026-08-18
○
Blood and Thunder Retina
Ophthalmology â€ĸ 2026-08-17
○
Sudden Painless Monocular Blindness
Ophthalmology â€ĸ 2026-08-16
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Conductive Hearing Loss in Young Woman
ENT â€ĸ 2026-08-15
○
Progressive Unilateral Hearing Loss
ENT â€ĸ 2026-08-14
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Heavy Painful Periods with Bulky Uterus
Gynecology â€ĸ 2026-08-13
○
Cyclical Pelvic Pain
Gynecology â€ĸ 2026-08-12
○
Seizure in Hypertensive Pregnancy
Obstetrics â€ĸ 2026-08-11
○
Hypertension with Proteinuria in Pregnancy
Obstetrics â€ĸ 2026-08-10
○
Painless Scrotal Transillumination
Surgery â€ĸ 2026-08-09
○
Tender Perianal Swelling
Surgery â€ĸ 2026-08-08
○
Pain with Defecation
Gastroenterology â€ĸ 2026-08-07
○
Burning Epigastric Pain
Gastroenterology â€ĸ 2026-08-06
○
Sudden Dyspnea with Wheeze After Aspiration
Pulmonology â€ĸ 2026-08-05
○
Hypotension with Muffled Heart Sounds
Cardiology â€ĸ 2026-08-04
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JVP with Kussmaul Sign
Cardiology â€ĸ 2026-08-03
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Hematuria with RBC Casts
Medicine â€ĸ 2026-08-02
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Pitting Edema and Heavy Proteinuria
Medicine â€ĸ 2026-08-01
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Confusion After Surgery
Medicine â€ĸ 2026-07-31
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Hyperkalemia with Weakness
Medicine â€ĸ 2026-07-30
○
Fluctuating Cognition with Hallucinations
Psychiatry â€ĸ 2026-07-29
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Memory Decline in Elderly
Psychiatry â€ĸ 2026-07-28
○
Isolated Low Platelets
Hematology â€ĸ 2026-07-27
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Purpuric Rash with Abdominal Pain
Pediatrics â€ĸ 2026-07-26
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Fever for Five Days
Pediatrics â€ĸ 2026-07-25
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Fever with Posterior Nodes
Pediatrics â€ĸ 2026-07-24
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Fever, Rash and Conjunctivitis
Pediatrics â€ĸ 2026-07-23
○
Strawberry Tongue and Rash
Microbiology â€ĸ 2026-07-22
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Pseudomembrane in Throat
Microbiology â€ĸ 2026-07-21
○
Rouleaux and Bone Pain
Pathology â€ĸ 2026-07-20
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Blasts with Auer Rods
Pathology â€ĸ 2026-07-19
○
Older Man with Hesitancy
Urology â€ĸ 2026-07-18
○
Flank Pain and Hematuria
Urology â€ĸ 2026-07-17
○
Painless Hematuria in Smoker
Urology â€ĸ 2026-07-16
○
Back Pain with Neurological Deficit
Orthopedics â€ĸ 2026-07-15
○
Painful Knee in Older Adult
Orthopedics â€ĸ 2026-07-14
○
Bone Pain and Proximal Weakness
Orthopedics â€ĸ 2026-07-13
○
Elderly Fragility Fractures
Orthopedics â€ĸ 2026-07-12
○
Hydrophobia
Infectious Disease â€ĸ 2026-07-11
○
Lockjaw
Infectious Disease â€ĸ 2026-07-10
○
Cough for Three Months
Infectious Disease â€ĸ 2026-07-09
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Fever with Thrombocytopenia
Infectious Disease â€ĸ 2026-07-08
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Fever with Rigors
Infectious Disease â€ĸ 2026-07-07
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Fever with Relative Bradycardia
Infectious Disease â€ĸ 2026-07-06
○
Raynaud with Skin Tightening
Rheumatology â€ĸ 2026-07-05
○
Malar Rash and Photosensitivity
Rheumatology â€ĸ 2026-07-04
○
First MTP Attack
Rheumatology â€ĸ 2026-07-03
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Morning Stiffness
Rheumatology â€ĸ 2026-07-02
○
Pain Crisis in Young Adult
Hematology â€ĸ 2026-07-01
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Jaundice with Spherocytes
Hematology â€ĸ 2026-06-30
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Family History of Microcytosis
Hematology â€ĸ 2026-06-29
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Pallor with Pica
Hematology â€ĸ 2026-06-28
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Annular Itchy Lesion
Dermatology â€ĸ 2026-06-27
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Nocturnal Itching in Family
Dermatology â€ĸ 2026-06-26
○
Silvery Scaly Plaques
Dermatology â€ĸ 2026-06-25
○
Itchy Flexural Rash
Dermatology â€ĸ 2026-06-24
○
Painful Vision Loss After Fever
Ophthalmology â€ĸ 2026-06-23
○
Gradual Painless Vision Loss
Ophthalmology â€ĸ 2026-06-22
○
Flashes and Floaters
Ophthalmology â€ĸ 2026-06-21
○
Painful Red Eye
Ophthalmology â€ĸ 2026-06-20
○
Brief Positional Vertigo
ENT â€ĸ 2026-06-19
○
Vertigo with Hearing Loss
ENT â€ĸ 2026-06-18
○
Foul Ear Discharge
ENT â€ĸ 2026-06-17
○
Painful Ear with Discharge
ENT â€ĸ 2026-06-16
○
Midline Neck Cyst
ENT â€ĸ 2026-06-15
○
Amenorrhea with Galactorrhea
Gynecology â€ĸ 2026-06-14
○
Irregular Periods and Hirsutism
Gynecology â€ĸ 2026-06-13
○
Postpartum Boggy Uterus
Obstetrics â€ĸ 2026-06-12
○
Painful Third-Trimester Bleeding
Obstetrics â€ĸ 2026-06-11
○
Painless Third-Trimester Bleeding
Obstetrics â€ĸ 2026-06-10
○
Painful Early Pregnancy
Obstetrics â€ĸ 2026-06-09
○
Bleeding in Early Pregnancy
Obstetrics â€ĸ 2026-06-08
○
Reducible Scrotal Swelling
Surgery â€ĸ 2026-06-07
○
Painful Testis
Surgery â€ĸ 2026-06-06
○
Sudden Abdominal Pain with Free Gas
Surgery â€ĸ 2026-06-05
○
Pain Migrating to Right Iliac Fossa
Surgery â€ĸ 2026-06-04
○
Painful Irreducible Groin Lump
Surgery â€ĸ 2026-06-03
○
Bony Pains and Pallor
Pediatrics â€ĸ 2026-06-02
○
Bilious Vomiting in Neonate
Pediatrics â€ĸ 2026-06-01
○
Projectile Vomiting
Pediatrics â€ĸ 2026-05-31
○
First Wheeze in Infant
Pediatrics â€ĸ 2026-05-30
○
Drooling Child
Pediatrics â€ĸ 2026-05-29
○
Barking Cough
Pediatrics â€ĸ 2026-05-28
○
Auditory Voices
Psychiatry â€ĸ 2026-05-27
○
Reduced Sleep and Grandiosity
Psychiatry â€ĸ 2026-05-26
○
Intrusive Contamination Thoughts
Psychiatry â€ĸ 2026-05-25
○
Recurrent Panic Attacks
Psychiatry â€ĸ 2026-05-24
○
Excessive Worry
Psychiatry â€ĸ 2026-05-23
○
Low Mood for Months
Psychiatry â€ĸ 2026-05-22
○
Morning Headache with Papilledema
Neurology â€ĸ 2026-05-21
○
Unilateral Weakness with Aphasia
Neurology â€ĸ 2026-05-20
○
Thunderclap Headache
Neurology â€ĸ 2026-05-19
○
Fluctuating Weakness
Neurology â€ĸ 2026-05-18
○
Ascending Weakness
Neurology â€ĸ 2026-05-17
○
Painful Visual Loss
Neurology â€ĸ 2026-05-16
○
Action Tremor
Neurology â€ĸ 2026-05-15
○
Resting Tremor
Neurology â€ĸ 2026-05-14
○
Young Patient with Ketosis
Endocrinology â€ĸ 2026-05-13
○
Polyuria with Hyperglycemia
Endocrinology â€ĸ 2026-05-12
○
Enlarged Hands
Endocrinology â€ĸ 2026-05-11
○
Moon Face and Striae
Endocrinology â€ĸ 2026-05-10
○
Paroxysmal Hypertension
Endocrinology â€ĸ 2026-05-09
○
Cold Intolerance and Constipation
Endocrinology â€ĸ 2026-05-08
○
Weight Loss and Tremor
Endocrinology â€ĸ 2026-05-07
○
Dysuria and Frequency
Nephrology â€ĸ 2026-05-06
○
Flank Pain with Fever
Nephrology â€ĸ 2026-05-05
○
Young Man with Recurrent Stones
Nephrology â€ĸ 2026-05-04
○
Child with Edema
Nephrology â€ĸ 2026-05-03
○
Hematuria Within 48 Hours
Nephrology â€ĸ 2026-05-02
○
Cola Urine After Sore Throat
Nephrology â€ĸ 2026-05-01
○
Confusion in Cirrhosis
Hepatology â€ĸ 2026-04-30
○
Stigmata of Chronic Liver Disease
Hepatology â€ĸ 2026-04-29
○
Jaundice with Marked Transaminases
Hepatology â€ĸ 2026-04-28
○
Painless Hematochezia
Gastroenterology â€ĸ 2026-04-27
○
Dysphagia to Solids and Liquids
Gastroenterology â€ĸ 2026-04-26
○
Post-Antibiotic Diarrhea
Gastroenterology â€ĸ 2026-04-25
○
Skip Lesions and Fistula
Gastroenterology â€ĸ 2026-04-24
○
Bloody Diarrhea
Gastroenterology â€ĸ 2026-04-23
○
Painless Progressive Jaundice
Gastroenterology â€ĸ 2026-04-22
○
Colicky Pain with Jaundice
Gastroenterology â€ĸ 2026-04-21
○
Right Upper Quadrant Pain
Gastroenterology â€ĸ 2026-04-20
○
Epigastric Pain to Back
Gastroenterology â€ĸ 2026-04-19
○
Pleuritic Pain After Long Flight
Pulmonology â€ĸ 2026-04-18
○
Massive Hemoptysis
Pulmonology â€ĸ 2026-04-17
○
Fever with Lobar Signs
Pulmonology â€ĸ 2026-04-16
○
Sudden Pleuritic Pain
Pulmonology â€ĸ 2026-04-15
○
Copious Foul Sputum
Pulmonology â€ĸ 2026-04-14
○
Hyperinflated Chest
Pulmonology â€ĸ 2026-04-13
○
Long-Term Productive Cough
Pulmonology â€ĸ 2026-04-12
○
Recurrent Wheeze
Pulmonology â€ĸ 2026-04-11
○
Raised JVP and Edema
Cardiology â€ĸ 2026-04-10
○
Holosystolic Apical Murmur
Cardiology â€ĸ 2026-04-09
○
Opening Snap
Cardiology â€ĸ 2026-04-08
○
Syncope with Harsh Murmur
Cardiology â€ĸ 2026-04-07
○
Saw-Tooth Rhythm
Cardiology â€ĸ 2026-04-06
○
Irregularly Irregular Pulse
Cardiology â€ĸ 2026-04-05
○
Sudden Collapse with Palpitations
Cardiology â€ĸ 2026-04-04
○
Pain Worse on Inspiration
Cardiology â€ĸ 2026-04-03
○
Crushing Chest Pain
Cardiology â€ĸ 2026-04-02
○
Exertional Chest Pain
Medicine â€ĸ 2026-04-01
○
Pica with Spoon Nails
Hematology â€ĸ 2026-03-31
○
Sudden Collapse with Arrhythmia
Cardiology â€ĸ 2026-03-30
○
Chronic Productive Cough
Pulmonology â€ĸ 2026-03-29
○
Sudden Hearing Loss with Vertigo
ENT â€ĸ 2026-03-28
○
Fever with Splenomegaly
Medicine â€ĸ 2026-03-27
○
Child with Neck Swelling
ENT â€ĸ 2026-03-26
○
Severe Hypertension with Seizure
Obstetrics â€ĸ 2026-03-25
○
Painful Swollen Joint
Medicine â€ĸ 2026-03-24
○
Confusion After Alcohol Use
Neurology â€ĸ 2026-03-23
○
Sudden Epigastric Pain
Surgery â€ĸ 2026-03-22
○
Child with Fever and Rash
Pediatrics â€ĸ 2026-03-21
○
Failure to Pass Urine
Surgery â€ĸ 2026-03-20
○
Sudden Vision Loss with Pain
Ophthalmology â€ĸ 2026-03-19
○
Persistent Hoarseness
ENT â€ĸ 2026-03-18
○
Painful Red Nodules on Legs
Dermatology â€ĸ 2026-03-17
○
Sudden Weakness of One Side
Neurology â€ĸ 2026-03-16
○
Severe Anemia with Neuropathy
Hematology â€ĸ 2026-03-15
○
Bloody Diarrhea
Gastroenterology â€ĸ 2026-03-14
○
Sudden Chest Pain in Tall Man
Medicine â€ĸ 2026-03-13
○
Palpitations with Sweating
Endocrinology â€ĸ 2026-03-12
○
Fatigable Muscle Weakness
Neurology â€ĸ 2026-03-11
○
Nocturnal Bone Pain
Orthopedics â€ĸ 2026-03-10
○
Burning Micturition with Fever
Medicine â€ĸ 2026-03-09
○
Painless Hematuria
Surgery â€ĸ 2026-03-08
○
Sudden Collapse After Trauma
Critical Care â€ĸ 2026-03-07
○
Resting Tremor
Neurology â€ĸ 2026-03-06
○
Failure to Thrive
Pediatrics â€ĸ 2026-03-05
○
Recurrent Oral Ulcers with Eye Pain
Rheumatology â€ĸ 2026-03-04
○
Sudden Scrotal Pain
Surgery â€ĸ 2026-03-03
○
Teen with Excessive Thirst
Endocrinology â€ĸ 2026-03-02
○
Sudden Severe Back Pain
Medicine â€ĸ 2026-03-01
○
Sudden Collapse with Warm Shock
Critical Care â€ĸ 2026-02-28
○
Chronic Bloody Diarrhea
Gastroenterology â€ĸ 2026-02-27
○
Wrist Drop After Sleep
Neurology â€ĸ 2026-02-26
○
Polyuria with Normal Glucose
Endocrinology â€ĸ 2026-02-25
○
Sudden Chest Pain with Dyspnea
Medicine â€ĸ 2026-02-24
○
Child with Neck Stiffness
Pediatrics â€ĸ 2026-02-23
○
Seizures with Hypertension in Pregnancy
Obstetrics â€ĸ 2026-02-22
○
Postpartum Bleeding
Obstetrics â€ĸ 2026-02-21
○
Severe Anemia with Glossitis
Hematology â€ĸ 2026-02-20
○
Stooped Posture and Tremor
Neurology â€ĸ 2026-02-19
○
Burning Micturition with Fever
Medicine â€ĸ 2026-02-18
○
Fever with Pancytopenia
Medicine â€ĸ 2026-02-17
○
Sudden Scrotal Pain
Surgery â€ĸ 2026-02-16
○
Recurrent Oral Ulcers
Rheumatology â€ĸ 2026-02-15
○
Sudden Severe Headache
Neurology â€ĸ 2026-02-14
○
Recurrent Chest Infections
Pulmonology â€ĸ 2026-02-13
○
Palpitations and Weight Loss
Endocrinology â€ĸ 2026-02-12
○
Fatigable Weakness
Neurology â€ĸ 2026-02-11
○
Painless Hematuria
Surgery â€ĸ 2026-02-10
○
Night Bone Pain
Orthopedics â€ĸ 2026-02-09
○
Chronic Fatty Diarrhea
Gastroenterology â€ĸ 2026-02-08
○
Sudden Painless Vision Loss
Ophthalmology â€ĸ 2026-02-07
○
Sudden Rigid Abdomen
Surgery â€ĸ 2026-02-06
○
Morning Stiffness
Rheumatology â€ĸ 2026-02-05
○
Painful Red Eye with Halos
Ophthalmology â€ĸ 2026-02-04
○
Blue Spells in Toddler
Pediatrics â€ĸ 2026-02-03
○
Progressive Dysphagia
Surgery â€ĸ 2026-02-02
○
Sudden Breathlessness After Travel
Medicine â€ĸ 2026-02-01
○
Pica and Spoon Nails
Hematology â€ĸ 2026-01-31
○
Sudden Unconscious Collapse
Cardiology â€ĸ 2026-01-30
○
Painful Oral and Genital Ulcers
Rheumatology â€ĸ 2026-01-29
○
Severe Bleeding After Delivery
Obstetrics â€ĸ 2026-01-28
○
Warm Shock After Infection
Critical Care â€ĸ 2026-01-27
○
Wrist Drop
Neurology â€ĸ 2026-01-26
○
Dark Urine After Infection
Nephrology â€ĸ 2026-01-25
○
Acute Testicular Pain
Surgery â€ĸ 2026-01-24
○
Resting Tremor and Stooped Posture
Neurology â€ĸ 2026-01-23
○
Chronic Diarrhea After Antibiotics
Infectious Disease â€ĸ 2026-01-22
○
Elderly Man with Bone Pain and Fractures
Orthopedics â€ĸ 2026-01-21
○
Confusion and Ataxia in Alcoholic
Neurology â€ĸ 2026-01-20
○
Young Female with Butterfly Rash
Rheumatology â€ĸ 2026-01-19
○
Bloody Diarrhea with Weight Loss
Gastroenterology â€ĸ 2026-01-18
○
Sudden Severe Headache
Neurology â€ĸ 2026-01-17
○
Dysuria
Surgery â€ĸ 2026-01-16
○
Chronic Productive Cough with Clubbing
Pulmonology â€ĸ 2026-01-15
○
Painful Urination After Unprotected Sex
Medicine â€ĸ 2026-01-14
○
The Crushing Chest Pain
Medicine â€ĸ 2026-01-13
○
Painful Vesicles on Lip
Dermatology â€ĸ 2026-01-12
○
Child with Wheeze
Pediatrics â€ĸ 2026-01-11
○
Tender Nodules on the Shins
Medicine â€ĸ 2026-01-10
○
Frequent Night Urination
Endocrinology â€ĸ 2026-01-09
○
Neck Swelling Moves with Tongue
ENT â€ĸ 2026-01-08
○
Chronic Cough in Smoker
Pulmonology â€ĸ 2026-01-07
○
Painful Swollen Joint
Orthopedics â€ĸ 2026-01-06
○
Yellow Eyes and Dark Urine
Gastroenterology â€ĸ 2026-01-05
○
Barking Cough in Child
Pediatrics â€ĸ 2026-01-04
○
Sudden Chest Pain
Cardiology â€ĸ 2026-01-03
○
Burning on Urination
Medicine â€ĸ 2026-01-02
○
Fever with Sore Throat
Medicine â€ĸ 2026-01-01
○
Cyclical Fevers
Medicine â€ĸ 2025-12-31
○
Spinning Room
ENT â€ĸ 2025-12-30
○
Yellow Baby
Pediatrics â€ĸ 2025-12-29
○
Loin to Groin
Medicine â€ĸ 2025-12-28
○
Facial Flush
Dermatology â€ĸ 2025-12-27
○
Severe Epigastric Pain
Surgery â€ĸ 2025-12-26
○
Winter Wheeze
Medicine â€ĸ 2025-12-25
○
Sports Knee Injury
Orthopedics â€ĸ 2025-12-24
○
Highs and Lows
Psychiatry â€ĸ 2025-12-23
○
Heavy Periods
OBGYN â€ĸ 2025-12-22
○
Polyuria & Thirst
Medicine â€ĸ 2025-12-21
○
Red Jelly Stool
Pediatrics â€ĸ 2025-12-20
○
Groin Swelling
Surgery â€ĸ 2025-12-19
○
Rice Water Stool
PSM / Infectious â€ĸ 2025-12-18
○
Sudden Weakness
Medicine â€ĸ 2025-12-17
○
Silvery Scales
Dermatology â€ĸ 2025-12-16
○
Irregular Cycles
OBGYN â€ĸ 2025-12-15
○
Migrating Pain
Surgery â€ĸ 2025-12-14
○
Strawberry Tongue
Pediatrics â€ĸ 2025-12-13
○
Chest Tightness
Medicine â€ĸ 2025-12-12
○
Curtain Falling
Ophthalmology â€ĸ 2025-12-11
○
Painful Swallowing
ENT â€ĸ 2025-12-10
○
Feeling Down
Psychiatry â€ĸ 2025-12-09
○
The Fallen Senior
Orthopedics â€ĸ 2025-12-08
○
Unilateral Headache
Medicine â€ĸ 2025-12-07
○
The Itchy Rash
Dermatology â€ĸ 2025-12-06
○
Tremors at Rest
Medicine â€ĸ 2025-12-05
○
Sudden Collapse
OBGYN â€ĸ 2025-12-04
○
The Barking Child
Pediatrics â€ĸ 2025-12-03
○
Midnight Pain
Surgery â€ĸ 2025-12-02
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The Persistent Cough
Medicine â€ĸ 2025-12-01
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WhatsDx Today

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WhatsDx.today
Daily Clinical Diagnosis Game
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WhatsDx.today
Daily Clinical Diagnosis Game
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WhatsDx.today is a daily clinical diagnosis game for medical students and doctors.
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