Case Solutions

We list the connections that can be made for each case in Night Shift 2024, along with the diagnoses. Please proceed ONLY if you do not mind game spoilers.

Pierre – Brucellosis



Fever + Accent

  • Ask about recent travel

Fever + Night sweats

  • Ask about weight loss, cough, or HIV

Wife is not happy + Night sweats

  • Ask Pierre about body odor

Fever + Stiff neck

  • LP to rule out meningitis


Benjamin – severe injury



Fall from bicycle + Tenderness to neck with palpation

  • Ask about other symptoms


Steven – severe injury



S/P GSW + Dropped off by a friend

  • Ask Ian if this happens often here


Alex – severe injury



Degloving injury of L upper arm + Cannot feel L hand

  • Ask if he can feel his fingers

High speed rollover MVC + Hypotensive and tachycardic

  • Ask Ian about the incident


Darrell – severe injury



Wife worries about him + Fall on cliffs

  • Ask why his wife worries about him


Mary – Lemierre's disease



Hypotensive; tachycardic + PCP labwork: UA and CXR normal

  • Ask Mary about sepsis

PCP labwork: thrombocytopenia + PCP labwork: elevated creatinine

  • Ask about neuro complaints

Anterior cervical lymph nodes swollen + C/O sore throat, dizziness, headache, neck stiffness

  • Find the source of the infection

Prior history of pharyngitis + Hypotensive and tachycardic

  • Find the source of the infection


Jonathan – severe injury



Believes in personal accountability + S/P fall

  • Ask if he was doing something risky


Dorothy – Takotsubo's cardiomyopathy



No CAD risk factors + Non-radiating chest pressure and light-headedness

  • Ask what triggered the event


Helen – severe injury



Dizziness on standing + S/P fall

  • Ask if this has happened before


Linda – severe injury



Fell asleep at the wheel + MVC

  • Ask about recent fatigue


Clarissa – Niacin deficiency



Paresthesias in legs; worsening over several months + Agitation

  • Ask about mood swings

Chronically ill/cachetic appearing + Scar over left upper quadrant of abdomen

  • Inquire about possible PEG


Kevin – Measles



20 yo male + Rash: morbiliform; face, neck, trunk, palms/soles

  • Ask about vaccination history

C/O headache; no photophobia + C/O fever; myalgias; diarrhea, URI sx

  • Check for meningitis

C/O fever; myalgias; diarrhea, URI sx + Rash: morbiliform; face, neck, trunk, palms/soles

  • Ask about recent travel

Does not think he was vaccinated + Rash: morbiliform; face, neck, trunk, palms/soles

  • Ask if he noticed any symptoms prior to the rash