Al Martini, a 44-year-old male who has been an alcoholic for the past 5 years, has a markedly diminished appetite for food.

Amanda Tin (amanitin) picked mushrooms in a wooded area near her home. A few hours after eating one small mushroom, she experienced mild nausea and diarrhea.

Amy Biasis (“amoebiasis”), a 23-year-old missionary, was brought to the hospital emergency room complaining of the abrupt onset of fever, chills, and severe pain in the right upper quadrant of her abdomen.

Amy Lloyd (“amyloid”) is a 62-year-old woman who presents with weakness, fatigue, an enlarged tongue (macroglossia), and edema.

Anne Jeina is a 54-year-old woman who arrived in the hospital 4 days ago, approximately 5 hours after she began to feel chest pain.

Ann O’Rexia is a 23-year-old buyer for a woman’s clothing store. Despite the fact that she is 5 feet 7 inches tall and weighs 99 lb, she is convinced she is overweight.

Ann Sulin returned to her physician for her monthly office visit. She has been seeing her physician for over a year due to obesity and elevated blood glucose levels.

Anne Niemick is a 4-year-old girl of Mediterranean ancestry whose height and body weight are below the 20th percentile for girls of her age.

Arlyn Foma, a 68-year old male, complained of fatigue, loss of appetite, and a low grade fever. An open biopsy of a lymph node revealed the presence of non-Hodgkin’s lymphoma, follicular type

Bea Selmass is a 46-year-old woman who 6 months earlier began noting episodes of fatigue and confusion as she finished her daily pre-breakfast jog.

Bea Twelvlow, a 75 year old female, went to see her physician due to a numbness and tingling in her arms and legs. A dietary history indicated a normal and healthy diet but Bea was not taking any supplemental vitamin pills.

Cal Kulis is an 18-year-old male who was brought to the hospital by his mother because of the sudden onset of severe pain in the left flank radiating around his left side toward his pubic area.

Candice Sucher is an 18-year-old female who presented to her physician for a precollege physical examination. While taking her medical history, the doctor learned that she carefully avoided eating all fruits and any foods that contained table sugar.

Carrie Sichel, Will Sichel’s 19-year-old sister, is considering marriage. Her growth and development have been normal and she is free of symptoms of sickle cell anemia.

Colin Tuma had two intestinal polyps at age 50, which were removed via a colonoscope. However, he did not return for a five year colonoscopic examination as instructed.

Colleen Lakker was born 6 weeks prematurely. She appeared normal until about 30 minutes after delivery, when her respirations became rapid at 64 per minute with audible respiratory grunting.

Cora Nari is a 64-year-old woman who had a myocardial infarction (MI, often referred to as a “coronary”) 8 months ago and had a significant loss of functional heart muscle.

Dennis “the Menace” Veere, age 3, was brought to the emergency department by his grandfather, Percy Veere. While Dennis was visiting his grandfather, he climbed up on a chair and took a half-full 500-tablet bottle of 325 mg aspirin (acetylsalicylic acid) tablets from the kitchen counter.

Deria Voider is a 20-year-old exchange student from Nigeria who has noted gastrointestinal bloating, abdominal cramps, and intermittent diarrhea ever since arriving in the United States 6 months earlier.

Dianne (Di) Abietes is a 26-year-old woman who was diagnosed with type 1 diabetes mellitus at the age of 12. She has an absolute insulin deficiency resulting from autoimmune destruction of the ß-cells of her pancreas.

Emma Wheezer presented to the emergency room 3 days after discharge from the hospital following a 10-day admission for severe refractory bronchial asthma. She required high dose intravenous methylprednisolone (a synthetic anti-inflammatory glucocorticoid) for the first 8 days of her stay.

Erin Galway is a 3-week-old female infant who began vomiting 3 days after birth, usually within 30 minutes after breastfeeding. Her abdomen became distended at these times and she became irritable and cried frequently.

Erna Nemdy (“earn an M.D.”), a 25-year-old junior medical student brings her healthy 4-month-old daughter, Beverly, to the pediatrician for her second diphtheria, pertussis, tetanus (DTaP,acellular pertussis) immunization, which she received along with the pneumococcal, inactivated polio, haemophilus influenza and rotavirus vaccines.

Ivan Applebod’s brother, Evan Applebod, was six feet tall and weighed 425 pounds (BMI = 57.6 kg/m2). He had only been successful in losing weight once in his life, in 1977 when he lost 30 lbs through a combination of diet and exercise with the support of a registered dietitian, but quickly regained this weight back.

A newborn baby girl, Getta Carbo, was born after a 38-week gestation. Her mother, a 36-year-old woman, developed a significant viral infection that resulted in a severe loss of appetite and recurrent vomiting in the month preceding delivery.

Homer Sistine, a 14-year-old male, had a sudden grand mal seizure (with jerking movements of the torso and head) in his eighth grade classroom. The school physician noted mild weakness of the muscles of the left side of Homer’s face and of his left arm and leg.

Ivan Applebod is a 56-year-old accountant who has been morbidly obese for a number of years. He exhibits a pattern of central obesity, called an?apple shape, which is caused by excess adipose tissue deposited in the abdominal area.

Ivy Sharer is a 26-year-old intravenous (IV) drug user who has shared needles with another addict for several years. Five months before presenting to the emergency department with soaking night sweats, she experienced a 3-week course of a flu-like syndrome with fever, malaise, and muscle aches.

Jay Sakz is a 9-month-old male infant of Ashkenazi Jewish parentage. His growth and development were normal until age 5 months when he began to exhibit mild, generalized muscle weakness.

Jean Ann Tonich, a 46-year-old commercial artist, recently lost her job because of absenteeism. Her husband of 24 years had left her 10 months earlier.

Jim Bodie, a 19-year-old body builder, was rushed to the hospital emergency room in a coma. One-half hour earlier, his mother had heard a loud crashing sound in the basement where Jim had been lifting weights and completing his daily workout on the treadmill.

Katie Colamin, a 34-year-old dress designer, developed alarming palpitations of her heart while bending forward to pick up her cat. She also developed a pounding headache and sweated profusely.

Katta Bolic, a 62-year-old homeless woman, was found by a neighborhood child who heard Katta’s moans coming from an abandoned building. The child’s mother called the police, who took Katta to the hospital emergency room.

Two years ago, Les Dopaman, a 62-year-old male, noted an increasing tremor of his right hand when sitting quietly (resting tremor). The tremor disappeared if he actively used this hand to do purposeful movement.

Lofata Burne is a 16-year-old female. Since age 14 months she has experienced recurrent episodes of profound fatigue associated with vomiting and increased perspiration, which required hospitalization.

Lopa Fusor is a 68-year-old woman who is admitted to the hospital emergency room with very low blood pressure (80/40 mm Hg) caused by an acute hemorrhage from a previously diagnosed ulcer of the stomach.

Lotta Topaigne is a 54 year-old woman who came to the physician’s office complaining of a severe throbbing pain in the right great toe that began 8 hours earlier. The toe has suffered no trauma but appears red and swollen.

Mannie Weitzels is a 56-year-old male who complains of headaches, weight loss related to a declining appetite for food, and a decreasing tolerance for exercise. He notes discomfort and fullness in the left upper quadrant of his abdomen.

Melvin (Mel) Anoma is a 46-year old male who noted a superficial, brownish-black, 5-mm nodule with irregular borders in the skin on his chest. He was scheduled for outpatient surgery, at which time a wide excision biopsy was performed (in an excision biopsy the complete mole is removed and biopsied).

Mya Sthenia is a 37 year-old female who complains of increasing muscle fatigue in her lower extremities with walking. If she rests for five to ten minutes, her leg strength returns to normal.

Newman Itis complains to his physician of a fever and cough. His cough is productive of thick yellow-brown sputum. He is empirically started on azithromycin for community acquired pneumonia.

Nick O’Tyne is a 62-year-old electrician who has smoked two packs of cigarettes a day for 40 years. He recently noted that his chronic cough had gotten worse.

Nona Melos is a 7-month-old baby girl, the second child born to unrelated parents. Her mother had a healthy, full-term pregnancy, and Nona’s birth weight was normal.

Otto Shape is a 25-year-old medical student who was very athletic during high school and college, and is now “out-of-shape”. Since he started medical school, he has been gaining weight.

Percy Veere is a 59-year-old schoolteacher who was in good health until his wife died suddenly. Since that time he has experienced an increasing degree of fatigue and has lost interest in many of the activities he previously enjoyed.

Piquet Yuria, a 4-month-old female infant, emigrated from the Soviet Union with her French mother and Russian father 1 month ago. She was normal at birth but in the last several weeks was less than normally attentive to her surroundings.

Rena Felya, a 9-year-old girl, complained of a severe pain in her throat and difficulty in swallowing. She had chills, sweats, headache, and a fever of 102.4° F. J1255

Sam Atotrope, a 42-year-old jeweler, noted increasingly severe headaches behind his eyes sometimes associated with a “flash of light” in his visual fields. At times his vision seemed blurred, making it difficult to perform some of the intricate work required of a jeweler.

Sis Lupus, a 28-year-old computer programmer, notes increasing fatigue, pleuritic chest pain, and a nonproductive cough. In addition, she complains of joint pains, especially in her hands.

Sissy Fibrosa is a 3-year-old Caucasian female who has been diagnosed with cystic fibrosis (CF). Cystic fibrosis is a disease caused by an inherited deficiency in the CFTR (cystic fibrosis transmembrane conductance regulator) protein, which is a chloride channel.

Sloe Klotter, a 6-month-old male infant, was brought to his pediatrician’s office with a painful, expanding mass in his right upper thigh which was first noted just hours after he fell down three uncarpeted steps in his home.

Spiro Site is a 21-year-old college student who complains of feeling tired all the time. Two years previously he had had gallstones removed, which consisted mostly of bilirubin.

Vera Leizd is a 34-year-old woman in whom pubertal changes began at age 12, leading to the development of normal secondary sexual characteristics and the onset of menses at age 13.

Victoria Tim was a 21-year-old woman who was the victim of a rape and murder. Her parents told police that she had left her home and drove to the local convenience store.

Will Sichel is a 17-year-old male who presented to the hospital emergency room with severe pain in his lower back, abdomen, and legs, which began after a 2-day history of nausea and vomiting caused by gastroenteritis.

X.S. Teefore is a 26-year-old male who noted heat intolerance with heavy sweating, heart palpitations, and tremulousness. Over the past 4 months he has lost weight in spite of a good appetite.