ACP Internist has brought back its MKSAP quiz. This popular feature was so heavily requested by our readers that we're restoring it in our print edition and ACP Internist Weekly e-mail updates.
Physical examination findings include tenderness to palpation of the joint, pain with shoulder abduction beyond 120 degrees, and pain with passive shoulder adduction (a positive cross-arm test). ... Pain also can be reproduced by placing the patient's
A 32-year-old man comes to the office after being told at a health fair screening that he had blood in his urine.
This is the best test when looking for blood, Dr. Paauw said.“ Doctors often miss this diagnosis,” Dr. ... Outside tests include a normal CBC, ESR, TSH, SMA 20, Monospot test, and negative HIV test.
A 28-year-old man is evaluated for a 3-week history of “stuffiness,” decreased hearing, and discomfort in his left ear. He has no other symptoms and otherwise feels well except for mild nasal congestion that he attributes to seasonal allergies.
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 left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular
A 26-year-old man is admitted to the emergency department with a 3-day history of dysuria with yellow urethral discharge. Following a physical exam and a Gram stain of urethral discharge, what is the most appropriate treatment?.
A 66-year-old man is evaluated in the emergency department following a fall 3 days ago, when he struck the right side of his chest against a table. Since that time he has experienced right-sided pleuritic chest pain and difficulty taking a deep
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to