A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically
A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A similar rash has occurred in the past, with her first episode as a young adult.A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A
Performing another HIV test is not indicated in this patient at this time.
A 60-year-old man is evaluated for new-onset monocular cloudy vision of the left eye that began 4 hours ago. He has type 2 diabetes mellitus and coronary artery disease. His current medications are aspirin, simvastatin, lisinopril, metoprolol, and
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. Her husband states that she has been forgetful and occasionally confused
Vaginal pH is 6.0, “whiff” test is positive. Results of saline microscopy are shown. ... A urine pregnancy test is negative. MKSAP photo (c) American College of Physicians.
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 22-year-old man is evaluated for a skin eruption on his leg. The patient lives in Virginia and is active outdoors. One week ago, he found a black tick on his lower leg, which his roommate removed with a tweezers. Yesterday he developed diffuse
A 26-year-old woman is evaluated for progressively worsening headaches that began intermittently 6 months ago and became daily 3 months ago. The patient describes bilateral “vise-like” pain that is steady, moderate in intensity, and unaffected
Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive.