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
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular
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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 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
460 µg/24 h (1,268 nmol/24 h). Urine potassium, spot test:. 45 mEq/L (45 mmol/L) (normal, 17-164 mEq/L [17-164 mmol/L]).
A urine pregnancy test is negative. Samples are obtained for nucleic acid amplification testing for Neisseria gonorrhoeae and Chlamydia trachomatis.
A. Confirm infection with a nucleic acid amplification test. B. Perform repeat Pap smear following treatment. ... C. Test for cure following treatment. D. Treat the patient's sexual partner.
A 27-year-old woman is evaluated for a 6-month history of fatigue, arthralgia, and myalgia. She has a history of urinary tract infections. Medications are an oral contraceptive pill and as-needed naproxen for pain. Following a physical exam, lab
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?