A MKSAP case study of menorrhagia marks the return of this popular feature to ACP Internist.
A 32-year-old woman is evaluated for a painful rash occurring bilaterally on her lower extremities, which began 2 days ago. She was admitted to the hospital 5 days ago for diagnosis and treatment of pulmonary embolism with heparin and warfarin. Her
A 55-year-old woman is seen during a follow-up evaluation for hyperthyroidism that was diagnosed 1 week ago. Thyroid examination revealed a palpable right thyroid nodule. Following a physical exam and a thyroid scan, what is the most appropriate
A. Confirm infection with a nucleic acid amplification test. B. Perform repeat Pap smear following treatment. ... C. Test for cure following treatment. D. Treat the patient's sexual partner.
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 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 31-year-old woman is evaluated for a 5-day history of a nonpainful cutaneous lesion on the back of her left hand. She works as a packer in a parcel distribution center. She does not recall injury to this area and reports no unusual employment or
A 61-year-old woman is evaluated for joint pain, a rash on her legs, and weakness. She has chronic genotype 1 hepatitis C viral infection. She takes no medication. Following a physical exam and lab studies, what is the most appropriate treatment?
Stool studies for enteric pathogens may identify a precipitant of toxic megacolon but require a minimum of 24 hours before test results are received.
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