A 74-year-old man is evaluated for a five-year history of gradually progressive dyspnea and dry cough without wheezing or hemoptysis. For the past 2 years he has had pain and occasional swelling in both knees. Physical examination shows no digital
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.
MKSAP quiz: Test yourself with infectious diseases vignettes on sudden drop in blood pressure with onset of fever, odynophagia in AIDS, and a persistent sore on the forearm.
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 35-year-old man with a 20-year history of type 1 diabetes mellitus is undergoing preoperative evaluation for renal transplantation.