A 64-year-old woman is evaluated for a 6-week history of dyspnea, dry cough, fever, chills, night sweats, and fatigue, which have not responded to treatment with azithromycin and levofloxacin; she has lost 2.2 kg (5 lb) during that time. Based upon
A 49-year-old man is evaluated for influenza immunization. Two weeks ago, he underwent surgical resection for stage III colon cancer. He will begin a 3-month course of adjuvant chemotherapy in 3 weeks. What is the preferred influenza immunization
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
Ipsilateral and contralateral straight leg raise test results are negative. Which of the following is the most appropriate next step in management?
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?.
Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next? ... Upper endoscopy findings are normal. Which of the following is the most appropriate diagnostic test to perform next?
disease. If the evaluation for celiac disease is negative, then colonoscopy would be a reasonable next test. ... A gastric emptying study (Option B) would not be the most appropriate test.
A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
A 31-year-old man is evaluated for follow-up 2 days after an emergency department visit for palpitations. He reports intermittent palpitations and occasional episodes of shortness of breath. What is the most appropriate next step in management?
The test is usually performed with inhaled methacholine, although other stimuli (exercise, mannitol) also have been validated. ... A negative bronchial challenge test excludes the diagnosis of asthma in most patients.