A 55-year-old man is evaluated in the emergency department after experiencing fever and chills yesterday evening and bilateral arm pain and a rash on the upper extremities upon awakening this morning. The patient ate raw oysters from the Gulf Coast
A 34-year-old woman is evaluated for sharp intermittent pleuritic chest pain that has persisted for 1 week. The pain is worse when she lies down in the supine position. She has had no fever, chills, cough, or weight loss. She had acute viral
A 56-year-old woman is evaluated for a 2-year history of joint pain and stiffness of the hands.
A 55-year-old man is evaluated for a 1-day history of seeing flashing lights, “squiggly” lines, and floating objects in his left eye followed by loss of vision at the outer periphery of the eye shortly after having breakfast this morning. He now
A 59-year-old man is evaluated for a 4-day history of progressive worsening of fatigue, forgetfulness, constipation, excessive thirst and increased urination. He has no pain. Based upon the findings of a physical exam and lab results, what is the
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.
460 µg/24 h (1,268 nmol/24 h). Urine potassium, spot test:. 45 mEq/L (45 mmol/L) (normal, 17-164 mEq/L [17-164 mmol/L]).
A 48-year-old man is evaluated for a 7-year history of spreading plaques associated with dry, itchy skin. He has no other significant medical history and takes no medications. Following a physical exam and chest radiograph, what is the most
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
A 62-year-old man undergoes a routine examination. He notes increasing fatigue of 8 months' duration but states he can perform his usual daily activities. He has no fever, night sweats, anorexia, or weight loss. The medical history is noncontributory