A 48-year-old woman is evaluated during a routine examination. She reports that her last menstrual period was more than 12 months ago. She states she has occasional hot flushes. Following a physical exam and pregnancy test, what is the most appropriate management?
28 Nov 2023
A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
1 Nov 2023
An 87-year-old woman is evaluated for a 1-year history of bothersome insomnia. She reports taking up to 2 hours to fall asleep. She also feels that her sleep is less refreshing. What is the most appropriate treatment?
21 Nov 2023
A 78-year-old man is evaluated for a 3-year history of erythema and flaking on the scalp and face. Following a physical exam, what is the most appropriate treatment?
1 Sep 2023
A 26-year-old woman is evaluated for a 4-week history of intermittent bright red blood per rectum and the feeling of incomplete evacuation. She has loose and blood-streaked bowel movements four or five times daily. Following a physical exam, lab studies, and colonoscopy, what is the most appropriate treatment?
14 Nov 2023
A 36-year-old woman is evaluated for fatigue of 3 months' duration and dyspnea on exertion of 1 month's duration. She is 1 month postpartum. She takes no medications. Following a physical examination and lab studies, what is the most appropriate management?
1 Oct 2023
An 81-year-old man is evaluated in the hospital for pneumonia. Following a physical exam and CT scan of the chest, what pleural fluid test is most appropriate in directing therapy?
17 Oct 2023
A 29-year-old man is evaluated for a 2-day history of diarrhea and crampy abdominal pain. Medical history is significant for non-Hodgkin lymphoma. Following a physical exam and other tests, what is the most appropriate empiric treatment for this patient?
19 Sep 2023
A 27-year-old man is evaluated for a pruritic rash on his elbows and knees of 3 years' duration. Celiac disease was diagnosed 7 months ago. He started a gluten-free diet, and the diarrhea resolved but the rash has persisted. Following a physical exam and other tests, what is the most appropriate management?
1 Jul 2023
A 75-year-old man is evaluated for dyspnea and an episode of exertional syncope. He is diagnosed on clinical examination with aortic stenosis. Following an ECG, echocardiogram, and other data, what is the most appropriate next step in management?
31 Oct 2023