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.
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 47-year-old man is evaluated for a skin eruption. Approximately 2 weeks ago, his wife noted an erythematous macule on his back. Over the ensuing week, the site became progressively larger. He notes mild fatigue but no fevers. He recently returned
A MKSAP case study of menorrhagia marks the return of this popular feature to ACP Internist.
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
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 recent HIV test was negative. He has used smokeless tobacco for 14 years.
A 31-year-old woman is evaluated for a 5-day history of a nonpainful cutaneous lesion on the back of her left hand. She works as a packer in a parcel distribution center. She does not recall injury to this area and reports no unusual employment or
A urine pregnancy test is negative. Samples are obtained for nucleic acid amplification testing for Neisseria gonorrhoeae and Chlamydia trachomatis.