A 27-year-old man is evaluated for the acute onset of fever, chills, body aches, and dry cough that began last evening after returning home from trimming timber at a saw mill. He has similar symptoms that have been occurring two to three times a
A MKSAP case study of menorrhagia marks the return of this popular feature to ACP Internist.
Stool studies for enteric pathogens may identify a precipitant of toxic megacolon but require a minimum of 24 hours before test results are received.
Laboratory test results include normal chemistries, a negative anti-nuclear antibody (ANA) test, and a normal complete blood count other than a leukocyte count of 13.8 10. ... Lupus is also associated with nonerosive joint pain and interstitial lung
A 70-year-old woman with hypothyroidism fell and fractured her hip. During preoperative evaluation for hip fracture repair, she mentions recent mild fatigue, which has not significantly limited performance of her daily activities, and ongoing right
Tenofovir, emtricitabine, and raltegravir are used to treat HIV infection. This drug combination would be an appropriate choice for HIV-related PAN, but the patient's HIV test is negative and
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 72-year-old man is evaluated for a 1-year history of bilateral lower extremity edema and abdominal distention. Eight years ago he had esophageal carcinoma treated with radiotherapy. Medical history is otherwise significant for hypertension, type 2
A 64-year-old man is evaluated in the emergency department for acute onset of vision loss in the left eye, which began 1 hour ago. He can barely see his own hands in front of his eye. He has no eye pain. Following a physical exam, eye exam, and lab