A 64-year-old woman is evaluated for a 6-week history of dyspnea, dry cough, fever, chills, night sweats, and fatigue, which have not responded to treatment with azithromycin and levofloxacin; she has lost 2.2 kg (5 lb) during that time. Based upon
A 30-year-old woman is evaluated for management of new-onset atrial fibrillation. She has a history of tetralogy of Fallot that was repaired at age 18 months. She has had no cardiovascular concerns since that time and has not had regular follow-up
A recent HIV test was negative. He has used smokeless tobacco for 14 years.
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
Additional laboratory findings in patients with G6PD deficiency include a negative direct and indirect anti-globulin (Coombs) test and the presence of “bite” or “blister” cells produced when accumulated oxidized hemoglobin ... The direct
Test Yourself MKSAP image 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
Absolute neutrophil count:. 400/µL (0.4 10. 9. /L). Direct Coombs (antiglobulin) test:.
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
Chest radiographs are shown. Test Yourself MKSAP images 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
A 55-year-old woman is seen in follow-up for a mildly pruritic eruption on and surrounding her right nipple, which developed about 5 months ago. She has no family history of eczema or psoriasis, and she is otherwise healthy. What is the most likely