A 67-year-old man is evaluated for fatigue and anemia of approximately 2 months' duration. He has no other symptoms and takes no medications. Following a physical exam, lab studies, and flow cytometry, what is the most appropriate treatment?
A 25-year-old man is evaluated for recurrent skin eruption with oval lesions on the chest and upper back, which are occasionally itchy. The lesions began in late spring and worsened over the summer. Following a physical exam, what is the most likely
A 51-year-old man is evaluated in the emergency department for a 12-hour history of fever, chills, headache, and weakness. He works on his farm in Maine and spends a considerable part of most days outside, but he is not aware of any tick or mosquito
Blood cultures are pending. Stool occult blood test is positive. Which of the following is the most likely diagnosis?
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 CT scan of the chest is shown. Which of the following is the most appropriate test to perform next? ... An acetylcholine receptor (AChR) antibody test should be ordered. The mediastinum can be divided into three separate compartments (anterior, middle,
A 30-year-old man is evaluated for a 1-week history of sore throat and odynophagia. He reports no fever, nausea, vomiting, diarrhea, or other symptoms. He was recently diagnosed with HIV infection and began antiretroviral therapy 2 weeks ago.
Image American College of Physicians. Which of the following is the most appropriate diagnostic test to perform next? ... In this setting, an exercise treadmill stress test is the most appropriate noninvasive imaging study.
A 19-year-old man is evaluated for 4 to 5 months of persistent itching, thickening of the skin, and odor of the feet. He also has hyperhidrosis of the palms and soles. Medical history is otherwise unremarkable, and he takes no medications. Following
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