A 29-year-old woman is evaluated for a petechial rash of the lower extremities of 3 weeks' duration. The patient reports no bleeding problems except for recent, occasional bleeding from her gums after brushing. Physician examination reveals
A 55-year-old white man has a several-year history of epigastric pain and daily heartburn without dysphagia or weight loss.
A 48-year-old man is evaluated for a 7-year history of spreading plaques associated with dry, itchy skin. He has no other significant medical history and takes no medications. Following a physical exam and chest radiograph, what is the most
Low-risk patients without evidence of myocardial infarction can be evaluated with an exercise or pharmacologic stress test. ... However, a stress test in a patient with probable acute coronary syndrome could provoke an extension of her myocardial
A 59-year-old man is evaluated for a 4-day history of progressive worsening of fatigue, forgetfulness, constipation, excessive thirst and increased urination. He has no pain. Based upon the findings of a physical exam and lab results, what is the
Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive.
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically
Direct antiglobulin (Coombs) test:. Negative. A bone marrow aspiration reveals a “dry tap.” A peripheral blood smear and bone marrow biopsy are shown.
Pseudothrombocytopenia is a laboratory artifact in which platelets drawn into an ethylenediaminetetraacetic acid (EDTA)-anticoagulated test tube clump and fail to be counted accurately by the automated counter, resulting in a
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