A 23 yo male presents with chest pain. His pain is worse lying down and better sitting up and leaning forward. EKG shows widespread ST segment elevation. What is your diagnosis and what exam finding would you expect upon examination?
A 75 yo female presents with sudden vision loss. Exam reveals a palpable cord in the temporal region. What is your diagnosis and what would be the best initial test to confirm your diagnosis?
A 53 yo male presents with a history of hypertension and now complains of 4/10 left sided chest pain with exertion that lasts 5 minutes that is relieved with rest. Cardiac and lung exam are normal, EKG is unremarkable. What is your diagnosis and what would be your initial non-invasive test to evaluate this patient?
A 30 yo African American female presents for a routine insurance exam requiring a chest X-ray. Her physical exam is normal except her X-ray reveals marked lymphadenopathy in the right paratracheal region. Angiotensin-converting enzyme levels are elevated. What is the likely diagnosis?
A 33 yo male presents with a right knee injury associated with pain and swelling. He was running and suddenly stopped, hyperextended his knee, heard a pop and noticed immediate swelling. On exam, the Lachman test and anterior drawer test demonstrates joint laxity. What is your diagnosis?
A 22 yo female presents with cola colored urine and has not urinated in the last 24 hours. She recently was diagnosed with pharyngitis 2 weeks ago. On exam, she has edema of her face and hands. What is your diagnosis and what would you expect on her urinalysis to confirm your diagnosis?
A 72 yo farmer presents for examination of a pearly ulcerated papule on his right nostril. The papule has been bleeding on and off for several weeks. What is your diagnosis and how would you describe the bleeding vessels?
1. This patient has symptoms of reliable with acute pericarditis and would doubtlessly have a pericardial friction rub on physical examination.
2. The patient is associated with having temporal arteritis. This infection is most ordinarily noted in patients over age 50 and ought to be suspected in patients with unexpected vision loss and a palpable cord in temporal area . Erythrocyte sedimentation rate is quite often expanded(increased) in this sickness
.
3. This patient has signs and symptoms steady with stable angina. Noninvasive diagnostic testing is favored in this patient. Nuclear stress testing is the most suitable starting indicative examination in the assessment of a patient with signs and symptoms predictable with stable angina.
4.Sarcoidosis is portrayed by paratracheal lymphadenopathy and raised ACE levels . It is increasingly normal in African American patients and might be asymptomatic.
Hope you find this helpful thank you ☺️
A 23 yo male presents with chest pain. His pain is worse lying down and better...
A 33 yo male presents with a right knee injury associated with pain and swelling. He was running and suddenly stopped, hyperextended his knee, heard a pop and noticed immediate swelling. On exam, the Lachman test and anterior drawer test demonstrates joint laxity. What is your diagnosis? A 22 yo female presents with cola colored urine and has not urinated in the last 24 hours. She recently was diagnosed with pharyngitis 2 weeks ago. On exam, she has edema of...
A 41 yo male with a history of IV drug abuse presents with acute, nontraumatic right knee pain, chills, and sweats starting 2 days ago. On exam, his temperature is 102.9 F, the right knee is erthematous, edematous, tender to palpation, and also decreased range of motion. Plain X-rays of knee show soft tissue swelling. What is your most likely diagnosis? A 52 yo female is diagnosed with chronic myeloid leukemia (CML). What would you expect to find on your...
A patient describes a history of intermittent and uncontrollable twitching of his right hand that spreads to involve the entire arm after a few minutes. Afterward, the arm is extremely weak. There are no other areas of involvement, sensory deficits or altered consciousness. What is the most likely seizure diagnosis? A 15 yo male presents with acute onset of nausea, severe pain and swelling of the right testis. He has no fever or irritative voiding symptoms. On exam, the right...
A 44 yo female hairdresser presents with a 2 month history of pain and numbness of her left hand that awakens her from sleep. On exam, you reveal electric tingling sensations with percussion over the volar surface of the wrist and paresthesias within 15 seconds of passively flexing the wrist. What is the most likely diagnosis and what is the initial noninvasive treatment of choice to maintain a neutral position of the wrist? A 34 yo male presents with fever...
A 68 yo male presents with jaundice, weight loss, and boring abdominal pain which radiates to the back. The gallbladder is palpable with a positive Courvoisier’s sign. What is the most likely diagnosis? A patient with a history of chronic lower extremity venous insufficiency presents for routine follow up. What would be the most likely physical findings upon examination? A 32 yo male presents with an 1 month history of weakness, anorexia, and weight loss. On exam he is hypotensive...
On physical exam of a pregnant patient, what is a normal finding with cardiac auscultation? A 58 yo female presents with a white spot on her tongue. She has a 42 pack year smoking history. On exam,, she has an 8 mm white, thickened, keratinized lesion on the ventral tongue. The lesion cannot be removed by rubbing the mucosal surface. What is the most likely diagnosis of the white lesion and what test would you perform to confirm the diagnosis?...
Mr. M.S.., an overweight, 55 yo white male presents to your clinic with chest pains. He has a history of hypertension, alcohol use and does not restrict his diet. He is currently taking nitroglycerin tablets as needed for angina. This pain is worse and is not controlled by nitroglycerin. The pain is radiating down his left arm. The pain in the chest feels like pressure or heartburn. You hear inspiratory rales, consistent with pulmonary edema. His blood pressure is 100/75....
Hypoglycemia in an elderly patient with diabetes is most likely to manifest as what symptom? A 43 yo woman presents with episodes of facial flushing with increased skin temperature followed by the development of tiny papules and pustules primarily on her cheeks and chin. The symptoms worsen with spicy foods and alcohol consumption. What is the likely diagnosis? A 25yo female presents for routine GYN examination. A 2cm mass is palpated in her right breast. Her LMP was 2 weeks...
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough. Ankles swelling. Additional hx: 60 pack-yr; quit 5 yrs. Ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease What would you like to ask about her medical hx?
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough. Ankles swelling. Additional hx: 60 pack-yr; quit 5 yrs. ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease What would you lke to ask about her medical hx?