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Hard Tuesday, Sep 15 Pulmonology
đŸ‘Ĩ 42 Clinical Minds solved this

Copious Foul Sputum

31F has recurrent childhood chest infections, daily large-volume purulent sputum and digital clubbing. Symptoms worsen after respiratory infections. This is a teaching case selected for the September 2026 daily challenge.
VITALS: SpO2 94% room air

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Bronchiectasis
Key Insight

Permanent bronchial dilatation causes recurrent infections, copious purulent sputum and often clubbing. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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Copious Foul Sputum
Pulmonology â€ĸ 2026-09-15
○
Hyperinflated Chest
Pulmonology â€ĸ 2026-09-14
○
Long-Term Productive Cough
Pulmonology â€ĸ 2026-09-13
○
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
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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
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Painless Enlarged Testis
Urology â€ĸ 2026-08-26
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Painful Shoulder with Limited Movement
Orthopedics â€ĸ 2026-08-25
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Hot Swollen Knee with Fever
Orthopedics â€ĸ 2026-08-24
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Cough with Post-Tussive Vomiting
Infectious Disease â€ĸ 2026-08-23
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Eschar with Fever
Infectious Disease â€ĸ 2026-08-22
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Mucosal Bleeding in Young Woman
Hematology â€ĸ 2026-08-21
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Bleeding with Prolonged aPTT
Hematology â€ĸ 2026-08-20
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Hypopigmented Scaly Macules
Dermatology â€ĸ 2026-08-19
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Depigmented Patches
Dermatology â€ĸ 2026-08-18
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Blood and Thunder Retina
Ophthalmology â€ĸ 2026-08-17
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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
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Progressive Unilateral Hearing Loss
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Heavy Painful Periods with Bulky Uterus
Gynecology â€ĸ 2026-08-13
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Cyclical Pelvic Pain
Gynecology â€ĸ 2026-08-12
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Seizure in Hypertensive Pregnancy
Obstetrics â€ĸ 2026-08-11
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Hypertension with Proteinuria in Pregnancy
Obstetrics â€ĸ 2026-08-10
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Painless Scrotal Transillumination
Surgery â€ĸ 2026-08-09
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Tender Perianal Swelling
Surgery â€ĸ 2026-08-08
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Pain with Defecation
Gastroenterology â€ĸ 2026-08-07
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Burning Epigastric Pain
Gastroenterology â€ĸ 2026-08-06
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Sudden Dyspnea with Wheeze After Aspiration
Pulmonology â€ĸ 2026-08-05
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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
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Fluctuating Cognition with Hallucinations
Psychiatry â€ĸ 2026-07-29
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Memory Decline in Elderly
Psychiatry â€ĸ 2026-07-28
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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
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Strawberry Tongue and Rash
Microbiology â€ĸ 2026-07-22
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Pseudomembrane in Throat
Microbiology â€ĸ 2026-07-21
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Rouleaux and Bone Pain
Pathology â€ĸ 2026-07-20
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Blasts with Auer Rods
Pathology â€ĸ 2026-07-19
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Older Man with Hesitancy
Urology â€ĸ 2026-07-18
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Flank Pain and Hematuria
Urology â€ĸ 2026-07-17
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Painless Hematuria in Smoker
Urology â€ĸ 2026-07-16
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Back Pain with Neurological Deficit
Orthopedics â€ĸ 2026-07-15
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Painful Knee in Older Adult
Orthopedics â€ĸ 2026-07-14
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Bone Pain and Proximal Weakness
Orthopedics â€ĸ 2026-07-13
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Elderly Fragility Fractures
Orthopedics â€ĸ 2026-07-12
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Hydrophobia
Infectious Disease â€ĸ 2026-07-11
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Lockjaw
Infectious Disease â€ĸ 2026-07-10
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Cough for Three Months
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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
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Raynaud with Skin Tightening
Rheumatology â€ĸ 2026-07-05
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Malar Rash and Photosensitivity
Rheumatology â€ĸ 2026-07-04
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First MTP Attack
Rheumatology â€ĸ 2026-07-03
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Morning Stiffness
Rheumatology â€ĸ 2026-07-02
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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
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Silvery Scaly Plaques
Dermatology â€ĸ 2026-06-25
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Itchy Flexural Rash
Dermatology â€ĸ 2026-06-24
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Painful Vision Loss After Fever
Ophthalmology â€ĸ 2026-06-23
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Gradual Painless Vision Loss
Ophthalmology â€ĸ 2026-06-22
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Flashes and Floaters
Ophthalmology â€ĸ 2026-06-21
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Painful Red Eye
Ophthalmology â€ĸ 2026-06-20
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Brief Positional Vertigo
ENT â€ĸ 2026-06-19
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Vertigo with Hearing Loss
ENT â€ĸ 2026-06-18
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Foul Ear Discharge
ENT â€ĸ 2026-06-17
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Painful Ear with Discharge
ENT â€ĸ 2026-06-16
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Midline Neck Cyst
ENT â€ĸ 2026-06-15
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Amenorrhea with Galactorrhea
Gynecology â€ĸ 2026-06-14
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Irregular Periods and Hirsutism
Gynecology â€ĸ 2026-06-13
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Postpartum Boggy Uterus
Obstetrics â€ĸ 2026-06-12
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Painful Third-Trimester Bleeding
Obstetrics â€ĸ 2026-06-11
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Painless Third-Trimester Bleeding
Obstetrics â€ĸ 2026-06-10
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Painful Early Pregnancy
Obstetrics â€ĸ 2026-06-09
○
Bleeding in Early Pregnancy
Obstetrics â€ĸ 2026-06-08
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Reducible Scrotal Swelling
Surgery â€ĸ 2026-06-07
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Painful Testis
Surgery â€ĸ 2026-06-06
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Sudden Abdominal Pain with Free Gas
Surgery â€ĸ 2026-06-05
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Pain Migrating to Right Iliac Fossa
Surgery â€ĸ 2026-06-04
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Painful Irreducible Groin Lump
Surgery â€ĸ 2026-06-03
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Bony Pains and Pallor
Pediatrics â€ĸ 2026-06-02
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Bilious Vomiting in Neonate
Pediatrics â€ĸ 2026-06-01
○
Projectile Vomiting
Pediatrics â€ĸ 2026-05-31
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First Wheeze in Infant
Pediatrics â€ĸ 2026-05-30
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Drooling Child
Pediatrics â€ĸ 2026-05-29
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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
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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
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Enlarged Hands
Endocrinology â€ĸ 2026-05-11
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Moon Face and Striae
Endocrinology â€ĸ 2026-05-10
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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
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Sudden Collapse
OBGYN â€ĸ 2025-12-04
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The Barking Child
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Midnight Pain
Surgery â€ĸ 2025-12-02
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The Persistent Cough
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