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
A 50-year-old black man with ischemic cardiomyopathy presents for a routine follow-up. His medical history is significant for biventricular pacemaker/cardioverter-defibrilator placement and diabetes mellitus. Which medication should be added?.
B. Exercise treadmill stress test. C. Implantable cardioverter-defibrillator placement. D. Tilt-table test. ... An exercise treadmill stress test can be valuable for identifying an exercise-induced arrhythmia.
On examination, compared with the previous day's findings, the patient appears to be in more pain, visual acuity of the right eye is worse with Snellen's test, and the
A 42-year-old woman is evaluated for occasional episodes of severe vertigo with nausea, vomiting, tinnitus, and a feeling of ear fullness.
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have
A 55-year-old man is evaluated in the emergency department after experiencing fever and chills yesterday evening and bilateral arm pain and a rash on the upper extremities upon awakening this morning. The patient ate raw oysters from the Gulf Coast
A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease.
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
Test Yourself MKSAP image 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.