A 35-year-old man is evaluated for a 2-year history of intermittent chest pain that is retrosternal, lasts for seconds to minutes, is unrelated to exertion, and does not radiate. It is occasionally associated with swallowing. Upper endoscopy is
A 27-year-old man is evaluated for leg pain. The patient is moderately obese (BMI=33) and had been sedentary until recently, when he joined a health club. However, after only a few minutes on the treadmill, he develops progressive pain in both his
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes
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 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
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]).
Low-risk patients without evidence of myocardial infarction can be evaluated with an exercise or pharmacologic stress test. ... However, a stress test in a patient with probable acute coronary syndrome could provoke an extension of her myocardial
Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. ... an inadequate screening and diagnostic test.
Which of the following is the most appropriate diagnostic test to perform next? ... is not the most appropriate test.
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