A 50-year-old black man with ischemic cardiomyopathy presents for a routine follow-up. His medical history is significant for biventricular pacemaker/cardioverter-defibrilator placement and diabetes mellitus. Which medication should be added?.
A 55-year-old white man has a several-year history of epigastric pain and daily heartburn without dysphagia or weight loss.
A 62-year-old man is evaluated for an asymptomiatic nodule on his should that has been present for more than 1 year. Skin findings are shown. What is the most likely diagnosis?.
Which of the following is the most likely diagnosis?.
A 56-year-old woman is evaluated for a 2-year history of joint pain and stiffness of the hands.
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.
A 30-year-old woman is evaluated for management of new-onset atrial fibrillation. She has a history of tetralogy of Fallot that was repaired at age 18 months. She has had no cardiovascular concerns since that time and has not had regular follow-up
A 27-year-old man is evaluated for leg pain. The patient is moderately obese (BMI=33) and had been sedentary until recently, when he joined a health club. However, after only a few minutes on the treadmill, he develops progressive pain in both his
A 20-year-old male college student is having trouble sleeping because of an itchy rash on his hands and inner aspect of his arm.
A 37-year-old man is evaluated for a 4-month history of progressively worsening red, scaly lesions involving the scalp, trunk, and extremities. During the past month, he also has had pain in the hands and feet and has lost 4.5 kg (10.0 lb). Aspirin