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.
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have
A 68-year-old man is evaluated in the emergency department for a 5-day history of an asymptomatic rash on the upper back and upper arms. The lesions grew suddenly and are neither pruritic nor painful. The patient has had associated fevers. He has a
A 32-year-old woman is evaluated for a painful rash occurring bilaterally on her lower extremities, which began 2 days ago. She was admitted to the hospital 5 days ago for diagnosis and treatment of pulmonary embolism with heparin and warfarin. Her
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
A. aPTT mixing study. B. Direct antiglubulin (Coombs) test. C. Intravenous immune globulin. ... D. Plasma exchange. E. Platelet antibody test. The correct answer is D: Plasma exchange.
A 29-year-old woman is evaluated for a petechial rash of the lower extremities of 3 weeks' duration. The patient reports no bleeding problems except for recent, occasional bleeding from her gums after brushing. Physician examination reveals
A 42-year-old woman is evaluated for occasional episodes of severe vertigo with nausea, vomiting, tinnitus, and a feeling of ear fullness.
Test Yourself MKSAP image 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
A MKSAP case study of menorrhagia marks the return of this popular feature to ACP Internist.