Problem Based Learning Initiative - SIU School of Medicine PBLM Catalog

PROBLEM-BASED LEARNING MODULES (PBLM)

PBLM's are actual patient cases in a book format that permits free inquiry. The learner can ask any question of the patient in any sequence and get the patient's response and perform any item of the physical examination in any sequence and learn the result as in the real clinical situation. Any laboratory and diagnostic test can be ordered in any sequence as well. Whatever can be done with the actual patient on history and physical and the ordering of laboratory tests can be done with the PBLM. A separate "User's Guide" provided with each PBLM can be used with any of the PBLM's in the series and provides the key for free inquiry.

PBLM's are copyrighted and cannot be reproduced.
All PBLMs are priced at $175 per copy (shipping and handling included in U.S.) The Tutorial Process Videotape set demonstrates proper use of a PBLM in a tutor group.

Indicates newly added PBLMs to the catalog.

C - Indicates date case originally created.

U - Indicates date case last updated.

ELIZABETH ADLER (C - 10/30/01 U - 3/27/02)
A 20-day-old woman presents to the clinic accompanied by her mother with a complaint of constipation.

ROBERT ANDERSON (C - 9/30/93 U - 10/24/05)
A somewhat anxious-appearing woman in her mid-30's has brought her five-year-old son, Robert, to the physician "to have stitches removed." The child appears friendly, but a bit shy, and has a 6 cm. sutured cut over his right eye. Neither individual has been seen previously by the physician.

DEBORAH ANTONELLI (C - 7/15/93 U - 6/14/06)
A 50-year-old woman presents to the emergency room with a two-day history of nausea, vomiting, fever and shaking chills. After having been "sick" all night, the patient felt considerably worse this morning and came into the Emergency Room.
Vital Signs on Admission:
BP -186/130
Respirations -36
Pulse -88
Temperature - 96.3° F
As the physician began the interview, the patient suddenly appeared confused and then became very quiet. The nurse indicated that the patient's daughter had been called and was on her way to the hospital. History based on information obtained from the daughter.

WILLIAM ARMSTRONG (C - 10/1/93 U - 5/27/05)
Mr. Armstrong is a very alert, somewhat dehydrated, 75-year-old man, appearing quite pale. He presents with complaint of an urge to urinate and suprapubicpressure with continuous slow dribbling of urine.

BRADLEY ARNETT (C - 7/26/93 U-1/23/06)
Mr. Arnett is a 54-year-old man who presents complaining of difficulty swallowing.

JASMINE BAILEY (C - 7/21/97 U - 4/19/07)
A 28-year-old woman presents to Family Practice Center with a chief complaint of lower abdominal pain and vaginal discharge of two-three weeks' duration. She is completely covered in Islamic dress and is accompanied by her husband.

VICTORIA BARNES (C - 7/23/93 U - 4/7/04)
A 75-year-old woman presents to hospital at 0700 with increased shortness of breath on exertion and paroxysmal nocturnal dyspnea. Patient is also anemic with a hemoglobin of 9.7 differing from a normal hemoglobin three years prior to admission.

RICHARD BARRISTER (C - 2/15/00 U - 11/09/01)
A 47-year-old man presents to the clinic with a complaint of peculiar sensations in his hands and feet.

DIANA BARRY (C - 7/10/96 U - 4/3/01)
A 22-year-old pregnant woman presents in the Urgent Care Center on a Saturday afternoon complaining of continual coughing.

HELEN BARTLETT (C - 2/9/96 U - 5/27/03)
A 54-year-old woman presents complaining of upper abdominal pain.

RUTH BELL (C - 9/5/95 U - 3/27/07)
A 68-year-old woman is brought to the emergency room by a friend. She is complaining of fever, chills, headache, cough, dizziness, weakness and shortness of breath.

CARL BENSON (C - 9/26/02 U - 9/11/06)
A 68-year-old man presents to the Pulmonary Clinic with complaints of a non-productive cough and shortness of breath.

TERRI BERNARD (C - 9/7/93 U - 12/1/05)
A 27-year-old secretary who worked until three weeks ago is transferred from another hospital because of increasing confusion, frequent falls and incontinence.

JOHN BIGGS (C - 10/22/03 U - 8/22/07)
A 43-year-old man is brought into the emergency room on a stretcher by EMS with the complaints of shortness of breath since awakening and chest pressure.

WILMA BIRCH (C - 11/23/98 U - 3/1/04)
A 64-year-old woman presents complaining of a feeling of fullness in her head, dizziness, fatigue and weakness.

FRANK BOWMAN (C - 6/30/93 U - 11/2/07)
An 87-year-old man who presents complaining of "weakness."

LINDA BOYD (C - 7/8/93 U - 11/5/07)
A 27-year-old woman presents to the morning clinic complaining of a sensation of a lump in her throat.

LOUIS BRIGGS (C - 10/28/02 U - 8/27/07)
A 27-year-old man presents to the doctor's office with a chief complaint of lower abdominal discomfort.

TERRY BROOKS (C - 8/3/92 U - 10/15/03)
The mother of a three-year-old child complains that he has pain in all four limbs (especially his right leg), a swollen right eye, loss of appetite, and increased irritability.

ANITA BROWN (C - 10/7/96 U - 9/13/99)
A 38-year-old woman is admitted to the Emergency Room with a complaint of weakness. She is conscious but unable to move.

EDNA BROWNING (C - 8/23/92 U - 6/24/03)
The nurses call the resident on call STAT on Edna Browning as they have found her ashen in color, hypotensive and short of breath.

MARTIN BURTON (C - 8/12/93 U - 6/26/01)
The patient is a 65-year-old married man who presents to your outpatient clinic today for an annual health maintenance exam. His only complaint is that he has been "more tired than usual" lately.

JOHN CALE (C - 10/14/98 U - 1/13/05)
A very large 60-year-old man arrives by ambulance to your ER. He reportedly had a seizure and is spitting up blood. He is on a cart with cervical and back immobilization with his right arm hyperabducted. He appears quite uncomfortable.

BERNARD CAMDEN (C - 12/1/98 U - 4/7/03)
A 44-year-old man presents complaining of pain and decreased strength in his right hand and wrist.

ANNE CAMPBELL (C - 6/10/97 U - 11/15/07)
A 53-year-old woman states, "I have changed insurance and I need to become established with my new doctor. I'm concerned because as I get older my back is beginning to curve."

KIMBERLY CANNIG (C - 2/14/02 U - 4/26/06)
A 43-year-old woman presents to the emergency room with a 6-hour history of hematemesis. Blood pressure was stabilized to 100/62 mmHg for ambulance transfer.

LENA CARDINAL (C - 1/31/96 U - 9/14/07)
A 20-year-old woman presents to the emergency room with a four-day history of severe epigastric pain. She has been transferred from a smaller hospital where she was treated for two days with IV fluids and analgesia with no relief of her symptoms.

MARCIA CASS (C - 7/93 U - 1/18/00)
Ms. Cass, a 23-year-old woman, presents in an outpatient clinic with complaints of weakness and lethargy.

HERBERT CHAPMAN (C - 9/9/93 U - 8/16/00)
A 52-year-old man presents to his family physician with a two-month history of increasing shortness of breath. He was admitted for further work-up.

ANNA CHILDS (C - 2/13/96 U - 4/24/01)
A 68-year-old Caucasian female presents with increasing difficulty climbing stairs.

PATRICIA CLAY (C - 3/16/04 U - 3/16/04)
A 68-year-old woman presents to the clinic with a complaint of lower abdominal pain.

EDWARD CLAYTON (C - 1993 U - 6/20/00)
A 74-year-old man presents with tremor in his left hand.

OSCAR CLINTON (C - 12/17/97 U - 11/22/99)
A 69-year-old man presents complaining of persistent nausea and abdominal pain.

ELLEN COLE (C - 9/21/01 U - 8/20/07)
A 39-year-old woman presents with chest pain with radiation to her left arm, severe nausea and one episode of vomiting. She is perspiring and near syncopal. She is accompanied by her husband.

NORMA JEAN COLEMAN (C - 11/20/96 U - 3/16/02)
A 22-year-old woman awoke this morning unable to move her legs. She was brought in by ambulance.

BARBARA CONNER (C - 4/28/03 U - 4/27/06)
A 39-year-old woman, is being seen for evaluation of post-partum weight gain

RENE COOK (C - 8/4/96 U - 5/19/03)
A six-year-old child comes to your office for a follow-up visit complaining of fatigue, intermittent fevers and back pain. The patient is accompanied by her mother.

EARL CRAWFORD (C - 9/14/01 U - 1/25/07)
A 79-year-old man presents to the Emergency Room accompanied by his wife with a complaint of sudden onset left-sided weakness and mental status changes.

WALTER CUSHING (C - 4/6/01 U - 10/17/07)
A 65-year-old man presents to the clinic with a complaint of a persistent cough.

HENRY DEWITT (C - 10/29/93 U - 1/21/05)
A 14-year-old young man presents with back pain which he first experienced during a football game while blocking an opponent.

FRANCO DOMBKOSKI (C - 7/14/93 U - 7/17/06)
A 71-year-old very thin man has come to the office complaining of progressive shortness of breath and experiencing sleepless nights.

BEN DRAKE (C - 4/15/98 U - 3/17/04)
Ms. Drake brings her nine-month-old son to the Pediatrics Clinic. He has been referred by his pediatrician from a small town for investigation of chronic cough.

SALLY DUNN (C - 11/6/95 U - 5/8/03)
A 65-year-old woman is brought to the Emergency Room by her husband. She is complaining of shortness of breath.

DANNY DUPREY (C - 3/9/93 U - 12/20/06)
Danny Duprey, a 17-year-old young man, is referred for a neurological consult before entering the Rutledge Foundation, a residential program for teenagers associated with the Department of Child and Family Services. He has been experiencing problems with arm twitching.

LARRY DVORAK (C - 7/28/03 U - 2/22/07)
A 42-year-old man is transferred from Salem Correctional Facility for management of severe pneumonia, progressive shortness of breath, fever and headache for 2 ½ weeks.

T.J. EDMONS (C - 7/95 U - 4/21/03)
A 15-year-old young man with a history of cystic fibrosis has recently noticed an increase in his chronic cough.

SABRINA EWING (C - 9/5/00 U - 9/5/00)
A 10-month-old infant presents to the clinic accompanied by her grandmother for developmental delay.

ILENE FALSTAFF (C - 9/27/99 U - 6/3/03)
A 54-year-old woman presents with lower back stiffness and soreness.

DONALD FARRIS (C - 1/98 U - 8/2/02)
This six-week-old infant boy is held in mother's arms quietly while father sits in next chair. They bring him in for well-child check. The baby was pre-term and has a heart monitor.

SAM FERGUSON (C - 7/13/99 U - 9/11/00)
A 19-year-old young man presents with a six-week history of non-productive cough and slightly decreased energy level and a one-week history of fever at times as high as 102 F.

CLELAND FERRIS (C - 6/27/00 U - 6/5/03)
A married, 45-year-old man presents for his five-year physical examination. Mr. Ferris has been a long-term patient of yours. You view this as one of your most effective doctor-patient relationships.

JAMES FILLMORE (C - 1/18/00 U - 6/17/03)
A 35-year-old man presents to the emergency room with his brother. He claims that he is almost unable to walk due to unremitting low back pain.

KAITLYN FLETCHER (C - 8/21/00 U - 11/13/01)
A 6-year-old girl presents to the doctor’s office accompanied by both her parents. They complain that she is physically aggressive to her peers, disruptive and will not follow direction.

HELEN FORSYTHE (C - 12/20/99 U - 12/20/99)
A 55-year-old woman presents with the complaint of "pelvic uncomfortableness" for one year.

DONNA FOSTER (C - 9/8/93 U - 11/6/07)
A 35-year-old married woman presents with a hot spot on her tongue for a few months which won't go away. The spot "moves around."

JACK FREDERICK (C - 93 U - 3/30/05)
A moderately obese 54-year-old man is referred to you by his primary care physician for further evaluation and treatment of his hypertension.

SYLVIA GALLAGHER (C - 9/3/97 U - 6/29/01)
A 43-year-old woman presents to physician's office complaining of fatigue and dizziness.

CHARLES GARDNER (C - 10/19/01 U - 9/11/06)
A 65-year-old man presents on a referral from an internist because of a cough, leg swelling and shortness of breath.

ANNE GEORGE (C - 9/10/93 U - 8/31/07)
A 72 year old woman presents with complaint of numbness on the bottoms of her feet.

MATILDE GIBSON (same as Matt Gibson) (C-96 U-03)
A 27-year-old man presents to the emergency room appearing to be in distress, complaining of severe left-sided chest pain.

MATT GIBSON (same as Matilde Gibson) (C-92 U-02)A 27-year-old man presents to the emergency room appearing to be in distress, complaining of severe left-sided chest pain.

ALTA GIVENS (C - 9/6/00 U - 2/16/01)
A 81-year-old woman is sent by her primary physician for a consultation visit. Her daughter has driven her to this appointment.

EDWIN GLEASON (C - 3/25/05 U - 4/10/06)
A 69-year-old man, presents to the Urology Clinic for a consultation about an elevated prostate-specific antigen (PSA) level.

KATHERINE A. GRAHAM (C - 8/26/93 U - 2/23/06)
A 60-year-old woman presents complaining of nausea, constipation, muscle weakness and aching in her arms and legs.

WHITNEY GREY (C - 4/18/03 U - 3/19/04)
A 21-year-old woman presents to the ER with complaint of severe upper abdominal pain.

ALFRED GREEN (C - 6/15/93 U - 8/23/05)
A 15-year-old young man with 2+ protein, 8-12 RBC's/HPF, 3-5 WBC'S/HPF on urinalysis obtained for a routine basketball physical examination.

ROGER GREENLEE (C - 1/26/96 U - 1/6/00)
A 64-year-old man presents to your clinic. His history is given by his wife and daughter who accompany him.

ELIZABETH GUERNSEY (C - 6/22/93 U - 6/10/04)
A 50-year-old woman presents to the Emergency Room with a chief complaint of shortness of breath.

ADA GURENSKI (C - 10/14/93 U - 8/19/03)
A 23-year-old woman is transferred from outlying hospital with a right hemiparesis and difficulty talking.

JOHN HABIB (C - 12/2/98 U - 4/9/03)
Mother of diabetic 11-year-old brings son to pediatrician's office following previous day's spell of weakness and dizziness.

MARY HAILSHAM (C - 2/10/93 U - 2/23/01)
A 32-year-old woman is admitted for evaluation of severe hypertension of eight years' duration.

ELLIS HALE (C - 7/23/93 U - 11/12/07)
A 63-year-old Caucasian male, in no acute distress, presents complaining of a recent episode of chest pain.

BESSIE HALL (C - 7/8/93 U - 2/21/06)
Bessie Hall is a 70-year-old woman who receives regular care for hypertension. During a routine examination she was found to have a fasting blood sugar of 342.

INEZ HALLORAN (C - 1/10/98 U - 1/12/06)
A 41-year-old female is referred to the Neurology Clinic by her family doctor because of thinking abnormalities. She is accompanied by her sister, Sarah.

JANET HALSTED (C - 10/14/93 U - 7/19/05)
Voluntary, direct admission of a 19-year-old single young woman to the psychiatric unit for evaluation of behavioral decompensation, referred by neurology. Patient's mother, who is her guardian, accompanies her.

EDNA MAE HAMILTON (C - 7/6/93 U - 5/12/04)
A 36-year-old woman presents with a lump in her breast.

JANET HARDER (C - 8/16/95 U - 11/21/96)
A 21-year-old woman presents to the doctor's office complaining of numbness and weakness on her right side.

ROGER HARGRAVE (C - 6/14/93 U - 10/24/02)
A 63-year-old man presents to a general internal medical clinic complaining of fatigue and shortness of breath.

BRANDY HARMONY (C - 7/28/03 U - 6/14/05)
A 3-year-old girl presents to her primary care physician's office with fevers and hip pain for several days.

HAROLD HARMS (C - 3/8/04 U - 2/23/05)
A 55-year-old resident of a nearby shelter, is a new patient. The shelter made the appointment because of his complaints of weakness and feet/leg pain.

SHANDRA HARRIS (C - 7/20/93 U - 8/6/02)
Shandra Harris is a 12-year-old child who has been referred to the clinic for a suspected heart murmur detected in a school physical.

RONALD HASKEY (C - 10/19/99 U - 9/5/00)
A 30-year-old man presents to the internist’s office referred by his family doctor complaining of increasing shortness of breath.

GINGER HAYES (C - 8/19/92 U - 2/18/02)
A 25-year-old woman hospitalized following recent surgery. You are called to patient's room because she complains of numbness and tingling in her hands and difficulty moving her arms.

WANDA HENDERSON (C - 1/29/03 U - 1/29/03)
A 89-year-old woman presents to the ER after falling.

ESTELLE HENSON (C - 1/20/94 U - 1/27/06)
A 51-year-old woman presents with an acute episode of diarrhea.

WILLIAM HODGSON (C - 10/13/93 U - 9/25/03)
A 52-year-old man presents to emergency room with complaints of mental confusion and inability to express thoughts and ideas verbally for one day.

DAMIEN HOOVER (C - 12/9/96 U - 4/5/04)
A single, 36-year-old man presents to the dermatologist for a follow-up appointment.

BETSY HOWARD (C - 2/21/96 U - 6/15/00)
A 63-year-old woman comes in for evaluation of previously diagnosed Parkinson's Disease.

LLOYD HOWARD (C - 2/21/96 U - 12/11/03)
A 38-year-old man is brought to the Emergency Room by the County Deputy Sheriff. He was arrested earlier in the day for assault and battery of his father.

MARY BETH HOYER (C - 8/25/95 U - 6/5/01)
A 17-year-old young woman states that her school nurse told her that she had a high blood pressure.

BEVERLY HUFF (C - 9/21/95 U - 1/18/07)
A 65-year-old woman is brought by her daughter to the clinic for evaluation of Parkinson's disease. Her daughter is with her.

JOHN HYATT (C - 7/11/96 U - 4/22/04)A 76-year-old man, presents to the emergency room complaining of shortness of breath. He is accompanied by his son. Patient appears quite ill, but is able to cooperate thoroughly with history and physical although he must stop often to catch his breath. He was receiving 2 L O2 via nasal cannula and portable O2 tank upon arrival in emergency room.

JANET INMAN (C - 6/22/93 U - 7/17/06)
A 30-year-old woman, is being seen for evaluation of heart palpitations.

JOHN JAMES (C - 3/25/93 U - 2/27/03)
A six-month-old infant is brought to the emergency room with a 12-hour history of fever and poor oral intake.

MARGARET JAMES (C - 9/10/93 U - 9/27/00)
A 21-year-old woman comes to your office for evaluation of pain in her right mid-arm.

TREVOR JARVIS (C - 9/8/00 U - 9/8/00)
A 5-year-old male presents after being admitted by his family doctor for evaluation of hematuria.

JAMAL JOHNSON (C - 8/15/02 U - 6/1/05)
A 4-year-old boy is brought to the emergency room by his parents who say that he has pain in his limbs and does not want to walk.

JONAH JOHNSON (C - 6/19/00 U - 6/19/00)
A 4-year-old boy is brought to the emergency room by his parents who say that he has pain in his limbs and does not want to walk.

MARIE JOHNSON (C - 8/3/93 U - 9/24/07)
An 85-year-old woman is brought to the emergency room by her daughter. Her daughter found her semiconscious, lying on the kitchen floor where she had been incontinent and appeared to have been lying for some time.

MONICA JOHNSON (C - 8/9/95 U - 7/13/00)
An 18 month-old child brought to the Emergency Room with burns to arms, back, buttocks, thighs, posterior aspect of scalp and ears.

SAMUEL JOHNSON (C - 8/10/92 U - 8/3/07)
A 78-year-old farmer and his family are seeking an explanation for a change in his behavior.

TERRY JOHNSON (C - 8/10/93 U - 4/28/99)
A 60-year-old woman presents to the emergency room complaining of chest and abdominal pain. She is concerned because she noticed blood in the stool.

TYRELL JOHNSON (C - 9/5/95 U - 7/18/00)
A 65-year-old man was brought in to the emergency room by ambulance personnel and accompanied by his sister, Gloria Johnson. Ms. Johnson states that she found the patient slouched in a chair in the kitchen, confused and disoriented. Ms. Johnson is the historian.

BERT JONES (C - 11/18/93 U - 1/15/04)
A 40-year-old man presents at your office for an infertility investigation. In the course of an on-going infertility investigation by his spouse's gynecologist he was reported as being azoospermic.

LASHAWN JONES (C - 6/17/97 U - 11/21/07)
A 19-year-old young woman presents to the clinic with complaints of vaginal discharge, a rash and pelvic pain.

HUANG KAHN (C - 2/20/03 U - 2/20/03)
A 63-year-old woman presents to the family practice office for a
physical exam with questions regarding bone density screening.

ALAN KEARNES (C - 6/27/00 U - 6/27/00)
The mother of four-day-old Alan has called your office today. She thinks the baby looks yellow and is sleeping all of the time.

CANDACE KELLY (C - 3/22/04 U - 2/21/06)
A 17-year-old young woman presents for her first gynecological visit.

ROSEMARY KELLY (C - 7/14/92 U - 1/6/03)
A 32-year-old woman presents complaining of joint pain, fever and fatigue.

MICHELLE KEMPF (C - 12/23/95 - U - 8/23/02)
A 33-year-old woman presents to your clinic complaining of severe abdominal and back pain.

AARON KESSINGER (C - 8/29/00 - U - 2/1/01)
A 16-year-old young man, is brought in by ambulance to the ER. He is complaining of neck and shoulder pain.

SAMUEL KINSEY (C - 6/20/95 U - 9/14/07)
A 36-year-old man comes to the clinic today complaining of feeling very tired and weak and being short of breath. He is accompanied by his wife.

SUZY KIRBY (C - 10/29/01 U - 9/28/06)
A 47-year-old woman presents to the Emergency Room on transfer to evaluate declining renal function.

MICHAEL KIRKPATRICK (C - 11/01 U - 8/23/07)
A 33-year-old man presents to the clinic with complaint of cough.

GEORGE KNIGHT (C - 12/97 U - 6/13/06)
A 32-year-old man presents to office with complaint of abdominal pain and nausea.

BRETT LAFFERTY (C - 9/18/95 U - 9/22/99)
A five-day-old infant has been transferred from an outlying hospital for surgical correction of congenital vesicoureteral reflux. You have been asked to evaluate the patient prior to surgery. He is accompanied by his parents.

FRED LARSEN (C - 3/19/03 U - 2/12/07)
A 65-year-old man, presents to this clinic for evaluation of hair loss.

HELEN LEEK (C - 9/22/00 U - 12/5/06)
A 58-year-old woman is brought to the emergency room by ambulance. She is accompanied by her husband. He states she developed "flu-like" symptoms of fever, nausea and diarrhea four days ago. Today she has become progressively weaker and has experienced dizziness and confusion. This evening she had a seizure which husband thinks lasted about three or four minutes.

PATRICE LESLEY (C - 10/16/01 U - 9/11/06)
A 35-year-old woman presents to the emergency room with complaint of sever anterior chest pain.

COURTNEY LONG (C - 8/17/00 U - 1/3/07)
A 35-year-old woman presents to the clinic for evaluation of joint pain.

GARY LOWELL (C - 9/21/01 U - 2/10/04)
A 70-year-old man, presents complaining of increased urinary frequency and hesitancy.

ANTHONY MACELLI (C - 2/20/96 U - 7/14/00)
A 73-year-old man is admitted to the hospital for urinary tract infection. A neurology consult is requested for possible history of Parkinson's Disease.

LANETA MADISON (C - 7/8/93 U - 10/1/01)
A 17-year-old young woman presents with lower abdominal pain.

SARAH MARSHALL (C - 6/20/96 U - 5/13/04)
A 50-year-old Caucasian woman in today for her yearly physical. States she has been feeling very well. Only complaint is discomfort in left breast which has been a long-standing problem.

ELIO MARTINEZ (C - 9/5/00 U - 2/26/04)
A 51-year-old man presents to the clinic with a complaint of rectal bleeding.

SARAH MCCORMICK (C - 9/18/00 U - 5/13/04)
An 80-year-old woman presents to the doctor’s office after being referred by her home health nurse. Her left breast has increasing swelling and heaviness with some pain and discomfort.

ANDREA MCGREGOR (C - 12/20/01 U - 12/20/01)
A 25-year-old woman, presents to the clinic with complaints of a rash and fatigue.

SEAN MCNEAL (C - 7/21/93 U - 2/1/01)
A one-day-old 37-week infant presents with transient tachypnea of the newborn during the first twelve hours of life. Heel sticks were obtained to check blood gases and CBC's. The child responded to oxygen therapy for the tachypnea, but prolonged oozing for 12 hours following the heel sticks was noted. The mother, age 26, gravida 1, para 0, had an uneventful pregnancy.

NORMA JEAN MEADOWS (C - 8/2/95 U - 10/14/07)
A 48-year-old woman presents to the Emergency Room at 8 PM complaining of increasing shortness of breath.

MATILDA MERKER (C - 1/23/98 U - 7/12/02)
A 52-year-old married woman is referred to the Psychiatric Out Patient Clinic by her family physician for evaluation.

CHARLES METZ (C - 5/13/97 U - 6/29/04)
A 36-year-old man is brought to the Emergency Room by his brother. He states he "doesn't want to live anymore" so he cut his right wrist.

MERRY DEE MILLER (C - 12/24/98 U - 2/18/02)
A 5-year-old child is brought to the emergency room by her parents. She is very lethargic and somewhat unresponsive.

JENNIFER MILLS (C - 4/15/02 U - 2/23/03)A 15-year-old young woman is brought to the Family Clinic by her mother for a school physical.

CLARE MITCHELL (C - 12/13/93 U - 6/10/04)
A 24-year-old woman presents with an eight day history of nausea, vomiting, abdominal pain and fever.

JAMES MONARCH (C - 1/13/97 U - 12/17/02)
A 51-year-old man presents to the clinic for the first time for an acute visit on a Wednesday afternoon at approximately 2:00 pm. He was sent to the clinic by an orthopedic physician in the office above the clinic. This physician was evaluating him for an injury to his left calf sustained while golfing two days ago. During this evaluation his blood pressure was 220/110.

ETHEL MONTAGUE (C - 10/8/97 U - 9/24/01)
A 58-year-old woman is brought to the Emergency Room by ambulance. She is accompanied by her husband. She has experienced "flu-like" symptoms for four days. This evening she had a seizure. Husband is informant.

FRED MOORE (C - 9/28/95 U - 11/26/07)
A 79-year-old man presents to neurology clinic after referral from his family practice physician. The patient had been generally healthy until the past six to eight months.

DEBORAH MURPHY (C - 5/27/93 U - 3/31/00)
A 20-year-old woman presenting at 34-weeks gestation for prenatal care. She has just moved from another city and brings her previous medical records with her.

HEATHER MUTZBAUER (C - 8/15/02 U - 9/6/05)
A 40-year-old woman presents to the emergency room with complaints of shortness of breath, cough and fever.

FRANK NATALI (C - 8/24/00 U - 6/2/03)
A 43-year-old man presents to the clinic to establish care and for evaluation of existing polycythemia.

JESSICA NEAL (C - 7/27/99 U - 6/10/01)
This 21-year-old woman has been transferred here from the emergency room of a hospital in a small town 25 miles from here. She appears acutely ill with IV dopamine running to maintain her blood pressure. She is accompanied by her mother, who gives most of the history.

BETH NEWBERRY (C - 9/23/99 U - 3/19/02)
A 13-year-old young woman presents to the clinic on a referral from Sports Medicine for abnormal heart sounds. She is accompanied by her mother.

AVERY NEWTON (C - 11/18/93 U - 5/27/03)
A 69-year-old man presents 10-days-post window surgery for chronic sinusitis. He complains of lightheadedness, nausea, vomiting and diarrhea.

LAUREN NORRIS (C - 8/28/00 U - 10/15/07)
A 16-year-old young woman, presents with breathing problems. Her family doctor referred her to a specialist. She is unaccompanied by either parent.

MOLLY OSWALD (C - 4/1/98 U - 10/28/02)
An 11-year-old child presents to the office with her mother complaining of a "bad headache and trouble breathing." While the nurse is asking her questions she becomes tearful and tells her mother she just doesn't feel good.

ANN OVERSTREET (C - 7/95 U - 6/27/02)
A 17-year-old young woman is brought to the Emergency Room by her mother because she has been crying uncontrollably for several hours and states that she wants to die.

SUSAN OWENS (C - 11/28/95 U - 4/4/00)
A 50-year-old woman presents to the office with complaint of prolonged vaginal bleeding, indigestion and states "I think I feel a lump in my belly."

MARY PADGETT (C - 6/25/95 U - 9/1/00)
A 65-year-old woman presents to office complaining of fever, chills, nausea, vomiting and shortness of breath.

BETTY PARKER (C - 8/24/00 U - 9/22/00)
A 62-year-old woman, presents to the doctor’s office stating that she was referred to you because she has a spot on her liver.

NICOLE PATTERSON (C - 9/29/99 U - 5/2/01)
A 10-month-old infant is brought to the Emergency Room by her mother with complaint of fever, vomiting, diarrhea and lethargy.

MARIA PORTITOS (C - 3/8/98 U - 8/28/07)
An 18-year-old young woman with a recent history of headache, cough, chills, also complains of body aches, leg pain and emesis x1 last night.

SUSAN POWELL (C - 5/5/99 U - 8/12/03)
A 28-year-old woman presents complaining of headache.

RICARDO QUIROVA (C - 2/22/96 U - 11/1/07)
A 56-year-old man is brought in by ambulance. He was found at home by his daughter, semiconscious and minimally responsive. He does not respond verbally. His Medic Alert bracelet indicates that he is diabetic.

CAROLYN RAMEY (C - 2/16/00 U - 1/6/03)
A 39-year-old woman presents to the clinic with complaints of a jabbing sensation in her posterior scalp and sharp headaches. She has been referred by her primary care physician. Mrs. Ramey underwent a lumbar laminectomy 6 weeks prior to this visit for a herniated disk. She experienced balance difficulties and hyperreflexic bladder post-operatively.

FRANCIS RAPPS (C - 10/14/92 U - 2/11/02)
A 27-year-old man has voluntarily admitted himself to the hospital. He complains of his right hand hurting and indicates that he has been drinking which causes his nerves to be "up."

ANDREW REDMOND (C - 7/23/93 U - 4/21/00)
A 70-year-old man complains of pain and swelling in left groin.

WILLIAM RETTER (C - 7/14/93 U - 8/2/01)
A small 13-year-old young man who does not appear to be in any acute distress. The patient has been hospitalized for re-evaluation because of failure to make a satisfactory recovery after his discharge from the hospital four weeks earlier following treatment for bacterial pneumonia.

JAMES RHODES (C - 10/16/95 U - 11/28/06)
A 74-year-old man presents to the emergency room via rescue squad in transfer from a referring hospital, where he went this morning complaining of weakness, chest pain and shortness of breath. He is receiving oxygen via nasal cannula and intravenous fluids with Dopamine.

PATRICK RICE (C - 10/30/95 U - 11/1/02)
A 26-year-old man is four-days post-trauma from a 30-foot fall off a cliff while rock climbing. He has suffered a comminuted fracture of his right distal tibia and a small laceration on his scalp. He has dismissed his orthopedic physician and requests your service.

JOHN RICHARDS (C - 7/12/99 U - 8/19/03)
A 34-year-old man who is being seen in the office for a complaint of difficulty swallowing.

MICHELLE RICHARDS (C - 8/2/00 U - 8/1/01)
A 55-year-old woman who comes in for an initial patient visit in your office.

EDWARD RIEFLER (C - 3/5/96 U - 1/27/00)
A 58-year-old man presents to an outlying hospital today after acute onset of aphasia and right arm weakness while at work.

CHERYL RIORDAN (C - 10/30/00 U - 11/30/07)
A 45-year-old woman presents to the Emergency Room with a complaint of left hip pain.

BEATRICE ROBBINS (C - 5/31/94 U - 7/14/00)
A 41-year-old woman presents to the emergency room complaining of aching joints, intermittent fever and shortness of breath.

JAMES ROLLE (C - 9/5/95 U - 4/22/04)
A 47-year-old man sitting in bed, in no obvious distress. Complains of shortness of breath, swollen legs, pain and tenderness in left ankle.

PEDRO SALDIVAR (C - 8/31/00 U - 12/21/06)
A 33-year-old man presents as a direct admit to the ICU from a community hospital in his rural setting. He is non-communicative, agitated, and restless. He is one day post-op endoscopic nasal sinus surgery.

GERRY SAUNDERS (C - 9/8/00 U - 6/2/03)
A 45-year-old woman presents to the clinic with a complaint of lower abdominal discomfort.

ALLEN SCHMIDT (C - 7/8/93 U - 6/10/99)
A 65-year-old man complaining of shortness of breath.

JONAH SELF (C - 8/29/96 U - 7/17/06)
A 40-year-old man presents with a complaint of progressive exertional shortness of breath.

KEN SELSER (C - 3/23/93 U - 3/16/02)
A flushed, fatigued-looking 19-year-old college student who has come to see you because of a sore throat.

CHARLES SELVAGGIO (C - 1/94 U - 9/8/03)
A 72-year-old man presents with memory loss.

PERRY SILVERMAN (C - 7/21/92 U - 1/17/03)
A three-year-old child presents to the hospital clinic at 9 AM with his mother and maternal grandmother. Perry is sitting quietly on the floor preoccupied with a storybook he brought from home. Mother and grandmother appear quite anxious.

JANE SMITH (C - 1/4/94 U - 2/8/00)
A 66-year-old woman presents with unsteadiness in walking.

KATE SMITH (C - 5/8/01 U - 5/18/01)
A 50-year-old woman presents to the clinic with a complaint of chronic diarrhea and left lower quadrant pain.

MARK SMITH (C - 7/7/97 U - 9/22/06)
A 34-year-old man presents to Family Practice Center on Monday afternoon and wishes to become an established patient.

CINDY SNOWDEN (C - 11/30/99 U - 8/16/02)
A 43-year-old woman presents to the outpatient clinic on referral from her family physician for evaluation of chronic cough and hoarseness.

ALLEN SOLLMAN (C - 9/27/01 U - 8/28/03)
A 49-year-old gentleman presents to this clinic for an evaluation of hair loss.

DANIEL SOUDERS (C - 3/22/93 U - 10/28/05)
A 19-year-old young man is seen in the emergency room immediately following a diving accident.

WILLIAM SPEER (C - 8/28/92 U - 9/12/00)
A 27-year-old married man was seen earlier in the day at a mental health center where arrangements were made to admit the patient on an emergency basis to the psychiatric unit that day.

RENE SPENCER (C - 6/2/97 U - 3/12/03)
A 33-year-old woman presents to the Family Practice Center with a chief complaint of "I moved here from Pennsylvania and I need to get established with the Clinic. My headaches are getting worse; I'm anxious all the time and now I'm getting chest pain."

DAVID SPRAGUE (C - 7/7/92 U - 5/2/00)
A 42-year-old man has come to see you for chronic headache because it is interfering with his work. He is concerned that he is taking too much medication.

ROBERT STONE (C - 9/7/00 U - 8/29/01)
A 44-year-old man presents to the doctor’s office with a spot on his left groin area that has started to bleed.

LAURA STRAW (C - 10/24/97 U - 12/16/99)
A 36-year-old woman who is 14-weeks' pregnant, presents for her routine visit complaining of headaches and "just not feeling very well."

CLARA SWEET (C - 7/6/93 U - 6/17/98)
A 69-year-old woman, presents to the emergency room complaining of increasing shortness of breath over the past week.

PAUL SYKES (C - 12/9/97 U - 9/22/06)
A 23-day-old infant presents to the office at 4:30 PM Thursday afternoon with parents stating that the infant has had episodes of vomiting with difficulty taking Pedialyte. Parents have been giving Pedialyte for 24 hours and the last wet diaper was approximately 10 PM last evening.

ALLISON TATE (C - 7/22/92 U - 1/12/04)
A 31-year-old married woman has made an appointment with you to discuss a "personal problem"; she has not been able to become pregnant.

BURT THOMAS (C - 7/7/92 U - 3/1/04)
A 34-year-old man presents in the office complaining of diarrhea of approximately six weeks' duration.

MARY THOMPSON (C - 9/17/92 U - 1/2/01)
A 21-year-old woman presents to the office at 10:30 AM with a two-year history of blood in her urine.

GUS TRIEVER (C - 11/18/93 U - 8/23/03)
A 25-year-old Caucasian male presents with increasing obesity and dyspnea on exertion.

FRANK TRIN (C - 11/10/93 U - 4/12/02)
A 31-year-old Asian male presents to your office with diarrhea.

KEVIN TUCKER (C - 3/6/00 U - 4/6/02)
A 35-year-old man presents to the Emergency Room with headache, mental status changes and history of syncopal episode.

DOROTHY UNDERWOOD (C - 9/11/00 U - 3/20/07)
A 81-year-old woman presents to the clinic for evaluation of gait difficulty.

JAMES UNDERWOOD (C - 11/11/93 U - 3/9/02)
A 60-year-old man presents with complaint of urinary frequency.

MARY LOU VON BEHREN (C - 2/24/99 U - 3/25/02)
An anxious-appearing 16-year-old young woman presents complaining of nausea, vomiting and inability to swallow.

MARTHA WAINWRIGHT (C - 4/16/02 U - 4/16/02)
A 31-year-old woman presents to the Family Practice Clinic for prenatal care. Her husband Paul accompanies her.

EUGENE WARNER (C - 9/18/00 U - 9/28/06)
A 49-year-old man presents to the Emergency Room with complaints of headache and shortness of breath. His blood pressure is found to be 220/130.

MELISSA WATSON (C - 8/12/98 U - 4/4/00)
A 37-year-old woman presents complaining of increased fatigue. The patient was evaluated by her PMD and was noted to have severe anemia with a hemoglobin around 4 and hematocrit of 15.

HOPE WATTS (C - 12/22/04 U - 12/21/06)
A 13-year-old girl presents to the ER after a fall. She states, "I felt my left knee pop and really bad pain."

LOUIS WELKER (C - 8/30/01 U - 7/17/06)
A 55-year-old man, was brought to the emergency room by his wife complaining of shortness of breath and loss of consciousness at home.

SHIRLEY WHITE (C - 1/11/94 U - 2/8/00)
A 40-year-old woman comes to Neurology Clinic for "migraine" headaches.

CASEY WHITMAN (C - 12/13/93 U - 8/28/07)
A 22-year-old woman is a new patient who presents with abdominal pain.

SHERMAN WILCOX (C - 7/26/93 U - 10/11/99)
A 60-year-old man presents with a two-hour history of shortness of breath and difficulty breathing.

AMY WILLIAMS (C - 7/93 U - 6/14/02)
A seven-year-old child comes in with her mother. Her mother states that she has been leaking urine.

FLORA WILLIAMS (C - 8/17/00 U - 10/7/01)
A 77-year-old woman presents to the Emergency Room with worsening shortness of breath and weakness. She is known to have pulmonary fibrosis.

RON WISEMAN (C - 8/24/00 U - 11/21/00)
A 72-year-old woman presents to the ER complaining of acute onset of diffuse anterior chest pain. He is accompanied by his wife.

LARRY YEARSE (C - 8/20/02 U - 8/20/02)
A 48-year-old man, s/p MVA with paraplegia presents with decubitus ulcers.

BRIAN ZAHN (C - 12/24/02 U - 12/12/06)
A 31-year-old man presents to the ER with complaints of severe headache and aphasia.

MILDRED ZANDER (C - 9/16/02 U - 9/11/06)
A 49-year-old woman presents to the ER complaining of seeing a reddish half circle in her left eye.

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