Additional laboratory findings in patients with G6PD deficiency include a negative direct and indirect anti-globulin (Coombs) test and the presence of “bite” or “blister” cells produced when accumulated oxidized hemoglobin ... The direct
A 32-year-old man is evaluated for a 2-month history of painless, violaceous skin nodules with surrounding edema on the chest, back, and lower extremities. He reports that he has sex with men. Medical history is significant for AIDS, with a CD4 cell
A 50-year-old man is evaluated for a 6-month history of dysphagia. He describes a sensation of both solids and liquids sticking in the midesophageal area. This sensation has slowly worsened over time. He also describes intermittent midsternal
Chest radiographs are shown. Test Yourself MKSAP images 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
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.
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 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.
See Test Yourself, page 16, for answer. Answers to clues are placed horizontallyin rows to reveal an answer written ver-tically.
Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. ... an inadequate screening and diagnostic test.
B: Immediate surgeryC: Start infliximabD: Start intravenous hydrocortisone. See Test Yourself, page 12, for answer.