Nope, It's Not COVID-19; Keep Dementia Patient on Feeding Tube? Pain in the Nail

Time to test those Dx skills [MEDPAGE TODAY]( On the Case Intriguing, curious, and mysterious case studies Saturday, September 05, 2020 Got an interesting case of your own? Send it over to editorial@medpagetoday.com for consideration! [Symptoms, Radiologic Findings Point to COVID-19 -- but It's Not]( A 43-year-old Indian man presents to an emergency department in Doha, Qatar, with a fever and headache, low energy, and shortness of breath -- symptoms that he says he has had for about a week, but without cough or flu-like symptoms. [Solve Case]( How about another? [Peculiar Nail Pain Goes Deep]( A 44-year-old woman visited her doctor after experiencing nail pain and noticing a purple-blue lesion under her fingernail that didn’t go away after more than a week. Although she spent a lot of time doing odd jobs around the house and in their workshop, she couldn’t remember hitting it with a hammer or having a recent injury. She complained that every time she washed her hands in cold water the pain was exacerbated, but she had noticed that if she held the finger very tightly at the base it felt better. [Make the Diagnosis]( Ethics Consult [Keep Patient on Feeding Tube After Dementia Diagnosis?]( A woman in her late 70s has been using a feeding tube successfully for the past year after a stroke. Her family noticed a decline in her cognitive abilities, and the patient was diagnosed with dementia. Is it ethical to keep this patient on a feeding tube? [Make the Call]( [A Property of Everyday Health group]( © 2020 MedPage Today, LLC. MedPage Today is among the federally registered trademarks of MedPage Today, LLC, and may not be used by third parties without explicit permission. You have received this email because you have registered to receive emails at www.medpagetoday.com, with the email address: {EMAIL} [Manage Email Preferences]( | [Unsubscribe](lst=NL_Gen_Int_On_The_Case?xid=nl_mpt_Onthecase2020-09-05&eun=g1020308d0r) | [Terms of Use]( | [Privacy Policy]( Technical Questions: feedback@medpagetoday.com 345 Hudson Street 16th Floor New York, NY 10014