A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough
A 46-year-old woman is evaluated for a 3-month history of a rash during the summertime. She is otherwise well and takes no medications. Following a physical exam, exam of the rash, and lab studies, what is the most likely diagnosis?.
A 26-year-old woman is evaluated for progressively worsening headaches that began intermittently 6 months ago and became daily 3 months ago. The patient describes bilateral “vise-like” pain that is steady, moderate in intensity, and unaffected
A 65-year-old man is evaluated because of painless neck swelling and difficulty swallowing that has progressively worsened over the last year. He does not have hoarseness, but he feels as though his voice is not as strong as it was in the past.
Absolute neutrophil count:. 400/µL (0.4 10. 9. /L). Direct Coombs (antiglobulin) test:.
A 55-year-old white man has a several-year history of epigastric pain and daily heartburn without dysphagia or weight loss.
A 55-year-old man is evaluated for a 1-day history of seeing flashing lights, “squiggly” lines, and floating objects in his left eye followed by loss of vision at the outer periphery of the eye shortly after having breakfast this morning. He now
A 35-year-old man is evaluated for a 2-year history of intermittent chest pain that is retrosternal, lasts for seconds to minutes, is unrelated to exertion, and does not radiate. It is occasionally associated with swallowing. Upper endoscopy is
A 62-year-old man undergoes a routine examination. He notes increasing fatigue of 8 months' duration but states he can perform his usual daily activities. He has no fever, night sweats, anorexia, or weight loss. The medical history is noncontributory
A 27-year-old woman is evaluated during a follow-up visit for high blood pressure that manifested 4 months after she began taking an oral contraceptive pill. Despite stopping the oral contraceptive pill, her blood pressure has remained high.