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
Chest radiographs are shown. Test Yourself MKSAP images 2010, American College of Physicians, Medical Knowledge Self-Assessment Program (MKSAP.
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes
A 27-year-old woman is evaluated during a follow-up visit for high blood pressure that manifested 4 months after she began taking an oral contraceptive pill. Despite stopping the oral contraceptive pill, her blood pressure has remained high.
A 46-year-old woman is evaluated for a 3-month history of a rash during the summertime. She is otherwise well and takes no medications. Following a physical exam, exam of the rash, and lab studies, what is the most likely diagnosis?.
See Test Yourself, page 16, for answer. Answers to clues are placed horizontallyin rows to reveal an answer written ver-tically.
A 67-year-old woman is evaluated for the abrupt onset of right-sided pleuritic chest pain and moderate dyspnea seemingly triggered by an episode of vigorous coughing during symptoms typical of an upper respiratory infection. She smokes and has COPD.
B: Immediate surgeryC: Start infliximabD: Start intravenous hydrocortisone. See Test Yourself, page 12, for answer.
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.
Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. ... an inadequate screening and diagnostic test.