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 68-year-old man was admitted to the hospital 3 days ago for a non-ST-elevation myocardial infarction and underwent cardiac catheterization via the right groin. Today, the patient reports pain in his left toes and diffuse soreness in the left calf.
A. aPTT mixing study. B. Direct antiglubulin (Coombs) test. C. Intravenous immune globulin. ... D. Plasma exchange. E. Platelet antibody test. The correct answer is D: Plasma exchange.
A 29-year-old woman is evaluated for a petechial rash of the lower extremities of 3 weeks' duration. The patient reports no bleeding problems except for recent, occasional bleeding from her gums after brushing. Physician examination reveals
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
The test of choice for confirming the diagnosis of atrial septal defect suspected on physical examination is transthoracic echocardiography.
A 71-year-old man presents for a routine visit. He has a history of hypertension and atrial fibrillation.
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 62-year-old woman is evaluated for a 4-month history of decreased exercise tolerance, joint stiffness, mild weakness, and a rash on her hands. She has noted increasing difficulty carrying heavy objects and feels exhausted after climbing stairs.
A 70-year-old woman with hypothyroidism fell and fractured her hip. During preoperative evaluation for hip fracture repair, she mentions recent mild fatigue, which has not significantly limited performance of her daily activities, and ongoing right