Additional laboratory findings in patients with G6PD deficiency include a negative direct and indirect anti-globulin (Coombs) test and the presence of “bite” or “blister” cells produced when accumulated oxidized hemoglobin ... The direct
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to
A 64-year-old woman is evaluated for a 6-week history of dyspnea, dry cough, fever, chills, night sweats, and fatigue, which have not responded to treatment with azithromycin and levofloxacin; she has lost 2.2 kg (5 lb) during that time. Based upon
A 37-year-old woman is evaluated for an episode of blood in her urine. She notes the passage of red-colored urine that resolved spontaneously and was not associated with her menstrual cycle. She reports having had several similar episodes in the past
Performing another HIV test is not indicated in this patient at this time.
A 55-year-old white man has a several-year history of epigastric pain and daily heartburn without dysphagia or weight loss.
Chest radiographs are shown. Test Yourself MKSAP images 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
A 62-year-old man is evaluated for an asymptomiatic nodule on his should that has been present for more than 1 year. Skin findings are shown. What is the most likely diagnosis?.
A 48-year-old woman is evaluated for a rash on her legs, arthralgia and myalgia, low-grade fever, and fatigue of 4 weeks' duration.
A 48-year-old man is evaluated for a 7-year history of spreading plaques associated with dry, itchy skin. He has no other significant medical history and takes no medications. Following a physical exam and chest radiograph, what is the most