A 74-year-old man is evaluated for a five-year history of gradually progressive dyspnea and dry cough without wheezing or hemoptysis. For the past 2 years he has had pain and occasional swelling in both knees. Physical examination shows no digital
A 22-year-old man is evaluated for a 6-week history of shortness of breath and cough. He is otherwise healthy and takes no medications. Following a physical exam and chest CT, what is the most appropriate management?
A. aPTT mixing study. B. Direct antiglubulin (Coombs) test. C. Intravenous immune globulin. ... A positive test result would not explain the presence of schistocytes on the peripheral blood smear.
A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A similar rash has occurred in the past, with her first episode as a young adult.A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A
A 50-year-old man is evaluated for a several-month history of itchy, scaly feet. It has persisted despite the application of a moisturizing lotion. A physical exam reveals erythematous scaly patches on the sides of the feet and maceration between
Performing another HIV test is not indicated in this patient at this time.
A 25-year-old man evaluated during a new patient visit is concerned about his ability to arrive on time at a new job because every morning before leaving his apartment, he feels compelled to perform multiple checks to ensure that all electronic
A 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused
The mainstay of therapy for intrahepatic cholestasis of pregnancy is ursodeoxycholic acid, which is associated with alleviated symptoms, improved liver test abnormalities but did not change fetal outcomes. ... Key Point. The mainstay of therapy for
A 52-year-old woman is evaluated for a 1-year history of a 6.8-kg (15-lb) weight gain, easy bruising, hypertension, and worsening diabetes control. Lab studies reveal hypercortisolism. What is the most likely cause?