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
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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 67-year-old man is evaluated in the emergency department with a 3-day history of weakness and nausea and a 2-week history of difficulty swallowing. He has lost 22.7 kg (50 lb) during the past year. He has no other symptoms. History is significant
A 78-year-old man is evaluated for palpitations, worsening fatigue, and exercise intolerance. Two months ago, he was diagnosed with atrial flutter and subsequently underwent cardioversion to normal sinus rhythm. Following a physical exam, lab studies
Tenofovir, emtricitabine, and raltegravir are used to treat HIV infection. This drug combination would be an appropriate choice for HIV-related PAN, but the patient's HIV test is negative and
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 27-year-old man is evaluated for the acute onset of fever, chills, body aches, and dry cough that began last evening after returning home from trimming timber at a saw mill. He has similar symptoms that have been occurring two to three times a
Test yourself with this quiz from DynaMed Plus. Screening for breast cancer refers to any test performed on a woman without current signs or symptoms of breast cancer, with the goal ... Mammography remains the screening test of choice. However, for
A 55-year-old white man has a several-year history of epigastric pain and daily heartburn without dysphagia or weight loss.