A 56-year-old woman is evaluated for changes in her voice. Over the past year her voice has become strained and strangled, and she has had problems with expressing certain consonants. Following a physical exam and video laryngoscopy, what is the most likely diagnosis?
3 Oct 2023
A 36-year-old woman is evaluated for fatigue of 3 months' duration and dyspnea on exertion of 1 month's duration. She is 1 month postpartum. She takes no medications. Following a physical examination and lab studies, what is the most appropriate management?
1 Oct 2023
A 38-year-old woman is evaluated in the emergency department for a 4-hour history of left flank pain that radiates to the groin. She is otherwise well and takes no medications. Following a CT scan, what is the most appropriate additional treatment?
26 Sep 2023
A 29-year-old man is evaluated for a 2-day history of diarrhea and crampy abdominal pain. Medical history is significant for non-Hodgkin lymphoma. Following a physical exam and other tests, what is the most appropriate empiric treatment for this patient?
19 Sep 2023
A 78-year-old man is evaluated for a 3-year history of erythema and flaking on the scalp and face. Following a physical exam, what is the most appropriate treatment?
1 Sep 2023
A 35-year-old man is evaluated during a routine visit for β-thalassemia intermedia. One year ago, he began requiring erythrocyte transfusions every 4 to 6 months for symptomatic anemia. He has no other symptoms or medical problems, and his only medication is folic acid. Following a physical exam and lab studies, what is the most appropriate additional management?
12 Sep 2023
A 27-year-old man is evaluated for a pruritic rash on his elbows and knees of 3 years' duration. Celiac disease was diagnosed 7 months ago. He started a gluten-free diet, and the diarrhea resolved but the rash has persisted. Following a physical exam and other tests, what is the most appropriate management?
1 Jul 2023
A 25-year-old man is evaluated for recurrent syncope. The syncopal episodes are abrupt and without prodrome and have occurred several times during the past year. Following a physical exam, lab studies, and ECG, what is the most likely diagnosis?
1 Jun 2023
A 45-year-old man is evaluated during a routine visit. He reports no symptoms, and his medical and family history are unremarkable. Following a physical exam, what is the most appropriate cardiovascular disease assessment?
5 Sep 2023
A 79-year-old man is evaluated for dyspnea that has been worsening insidiously over the past year. He has an 8-year history of severe chronic obstructive pulmonary disease, with no exacerbations in the past year. Following a physical exam, what is the most appropriate treatment?
29 Aug 2023