A 28-year-old woman is evaluated in the emergency department for a 1-week history of progressive headache associated with nausea and vomiting. Medical history is significant for HIV infection. She is nonadherent to her antiretroviral therapy regimen
A 78-year-old man is evaluated for palpitations, worsening fatigue, and exercise intolerance. Two months ago, he was diagnosed with atrial flutter and subsequently underwent cardioversion to normal sinus rhythm. Following a physical exam, lab studies
A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the
Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. ... an inadequate screening and diagnostic test.
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.
Which of the following is the most appropriate diagnostic test to perform next? ... is not the most appropriate test.
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to
A 62-year-old woman is evaluated for multiple areas of scaling and rough skin on her forehead and cheeks, the backs of her hands, and forearms. These areas are painless but persist despite application of moisturizer. She is in good overall health
A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough