A 35-year-old man is evaluated for a 2-year history of intermittent chest pain that is retrosternal, lasts for seconds to minutes, is unrelated to exertion, and does not radiate. It is occasionally associated with swallowing. Upper endoscopy is
A urine pregnancy test is negative. Samples are obtained for nucleic acid amplification testing for Neisseria gonorrhoeae and Chlamydia trachomatis.
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 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 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
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 44-year-old man is evaluated for a new lesion on the side of his face. It has been present for several months and is asymptomatic. When he shaves he cuts it, and it starts bleeding. Following a physical exam, what is the most likely diagnosis?
A 27-year-old woman is evaluated for a 6-month history of fatigue, arthralgia, and myalgia. She has a history of urinary tract infections. Medications are an oral contraceptive pill and as-needed naproxen for pain. Following a physical exam, lab
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes
Test yourself with this quiz from DynaMed Plus. Screening for breast cancer refers to any test performed on a woman without current signs or symptoms of breast cancer, with the goal ... Mammography remains the screening test of choice. However, for