The test of choice for confirming the diagnosis of atrial septal defect suspected on physical examination is transthoracic echocardiography.
A 71-year-old man presents for a routine visit. He has a history of hypertension and atrial fibrillation.
On examination, compared with the previous day's findings, the patient appears to be in more pain, visual acuity of the right eye is worse with Snellen's test, and the
A 28-year-old woman is evaluated in the emergency department for a 1-week history of progressive headache associated with nausea and vomiting. Medical history is significant for HIV infection. She is nonadherent to her antiretroviral therapy regimen
A 35-year-old man with a 20-year history of type 1 diabetes mellitus is undergoing preoperative evaluation for renal transplantation.
Plus, test yourself with questions on sedation and ventilation excerpted from MKSAP 14.
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 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease.
Stool studies for enteric pathogens may identify a precipitant of toxic megacolon but require a minimum of 24 hours before test results are received.
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