A 65-year-old man is evaluated because of painless neck swelling and difficulty swallowing that has progressively worsened over the last year. He does not have hoarseness, but he feels as though his voice is not as strong as it was in the past.
A 62-year-old man undergoes a routine examination. He notes increasing fatigue of 8 months' duration but states he can perform his usual daily activities. He has no fever, night sweats, anorexia, or weight loss. The medical history is noncontributory
Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. ... an inadequate screening and diagnostic test.
A 55-year-old woman is seen in follow-up for a mildly pruritic eruption on and surrounding her right nipple, which developed about 5 months ago. She has no family history of eczema or psoriasis, and she is otherwise healthy. What is the most likely
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
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A 44-year-old man is evaluated for a new lesion on the side of his face. It has been present for several months and is asymptomatic. When he shaves he cuts it, and it starts bleeding. Following a physical exam, what is the most likely diagnosis?
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
A 32-year-old man is evaluated for a 2-month history of painless, violaceous skin nodules with surrounding edema on the chest, back, and lower extremities. He reports that he has sex with men. Medical history is significant for AIDS, with a CD4 cell
A 50-year-old man is evaluated for a 6-month history of dysphagia. He describes a sensation of both solids and liquids sticking in the midesophageal area. This sensation has slowly worsened over time. He also describes intermittent midsternal