A 27-year-old woman is evaluated during a follow-up visit for high blood pressure that manifested 4 months after she began taking an oral contraceptive pill. Despite stopping the oral contraceptive pill, her blood pressure has remained high.
A 28-year-old woman is evaluated after a 4-hour self-limited episode of palpitations. The symptoms occurred while at work yesterday.
Pseudothrombocytopenia is a laboratory artifact in which platelets drawn into an ethylenediaminetetraacetic acid (EDTA)-anticoagulated test tube clump and fail to be counted accurately by the automated counter, resulting in a
460 µg/24 h (1,268 nmol/24 h). Urine potassium, spot test:. 45 mEq/L (45 mmol/L) (normal, 17-164 mEq/L [17-164 mmol/L]).
CT is readily available, can be quickly performed, and is the test of choice to rule out intracerebral hemorrhage, subarachnoid bleeding, and hydrocephalus, which may require rapid neurosurgical intervention. ... CT of the head without contrast is the
See Test Yourself, page 16, for answer. Answers to clues are placed horizontallyin rows to reveal an answer written ver-tically.
These acrostic-like puzzles, by ACP AssociateMember Justin Vader, MD, will test your medical knowledge and, we hope, provide a bitof fun. ... A: Babesia microtiB: Capnocytophaga canimorsusC: Rickettsia rickettsiiD: Vibrio vulnificus. See Test Yourself,
B: Immediate surgeryC: Start infliximabD: Start intravenous hydrocortisone. See Test Yourself, page 12, for answer.
A 56-year-old woman is evaluated for a 2-year history of joint pain and stiffness of the hands.
A recent HIV test was negative. He has used smokeless tobacco for 14 years.