A 22-year-old man is evaluated for a skin eruption on his leg. The patient lives in Virginia and is active outdoors. One week ago, he found a black tick on his lower leg, which his roommate removed with a tweezers. Yesterday he developed diffuse
D. Exercise treadmill stress test. The correct answer is D: Exercise treadmill stress test. ... In this setting, an exercise treadmill stress test is the most appropriate noninvasive imaging study.
A 49-year-old woman is evaluated for a 6- month history of exertional dyspnea and nonproductive cough that had an insidious onset. She has not noticed any particular triggers for her cough. She has no history of asthma, airway disease, reflux, or
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
Test Yourself MKSAP image 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
A 49-year-old woman is evaluated for recurrent burning and itching on her mid-back that have been present for 2 years. Physical examination discloses ill-defined hyperpigmented patches on the mid-back below the medial aspect of the scapulae, as shown
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 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused
Performing another HIV test is not indicated in this patient at this time.
Based upon a physical exam and chest radiograph, what is the most likely diagnosis?.