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 ago. She has no family history of breast cancer. What is the modality of choice to further evaluate her breast mass?
A 60 yo right handed male presents complaining of right shoulder pain and worsening arm weakness. His symptoms are worse when working above the shoulder level. On exam, there is no muscle atrophy, muscle strength is 5/5 with adduction and 1/5 with abduction, and passive range of motion is intact. What is the most likely diagnosis?
A 3 month old child presents for a routine well child check. The child is well developed, well nourished and no cyanosis present. On exam, a 3/6 high pitched, harsh, pansystolic murmur heard best at the 3rd and 4th intercostal spaces with radiation across the precordium. What is your diagnosis and what would be the initial diagnostic study of choice in this patient?
A 26 yo female presents requesting STD screening after her boyfriend was recently treated for a STD. On exam, you find a painless vulvar ulcer. What is your diagnosis?
A 55 yo female patient presents with lethargy, fatigue, constipation, and menorrhagia. On exam, you reveal an enlarged thyroid, dry skin, and a heart rate of 50 BPM. Lab results show a decrease in free T4, and an elevation in TSH. What is the most likely diagnosis?
A 19 yo male presents to the ED with a sudden onset of dyspnea and left sided chest pain. He denies fever, chills, or sore throat. On exam, he is 6’2” and weighs 135 lbs. Vitals BP 86/60, HR 130 BPM, Respiration Rate 28, Temp 98.6 degrees F. What is the likely diagnosis and what would likely find on examination of his thorax?
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?
1. mental confusion
Appearances of hypoglycemia in the old are mostly from impaired central nervous system . Appearances incorporate mental confusion , odd conduct, and eventually unconsciousness.
2.Rosacea is chronic and episodically flushing of the face pursued by the advancement of small papules and pustules. Eating hot and spicy nourishments or drinking hot fluids or liquor can cause intensification of the indications.
3.ultrasound is the best decision on account of the density of the breast tissue in young ladies. Ultrasound is best method for age of 25 yr old ladies
4.Rotator cuff tears are related with full latent scope of movement however have pain and weakness during passive abduction
Hope you find this helpful thank you ☺️
Hypoglycemia in an elderly patient with diabetes is most likely to manifest as what symptom? A...
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 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?...
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...
Bony and cartilaginous enlargement of distal interphalangeal joints is commonly seen in what condition and what are these enlargements called? A 75 yo female presents with a history of Hypertension and now has shortness of breath. On exam, you notice a diastolic murmur at the left sternal border. What exam maneuvers would accentuate this murmur and what is your diagnosis? A 45 yo female presents complaining of the absolute worst headache of her life. What is your initial clinical diagnosis...
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 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 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...
Part One: For the following medical diagnoses, please describe the manifestations the patient will most likely present with. Please include pain characteristics (location, descriptions, onset, etc.) and associated signs and symptoms (such as nausea, abdominal signs, jaundice, etc.). Be as thorough as you can. Ask yourself this: if I get assigned a patient with this diagnosis, what things would I expect to see, what things would I assess for? Peritonitis Pancreatitis Cholecystitis Diverticulitis Part Two - Now…look at the following...
Now…look at the following case scenarios and determine which diagnosis is most likely to be applicable to the patient. A 32-year-old female presents to the emergency room with complaints of abdominal pain. She describes generalized pain that started yesterday and worsened overnight. She indicates that the pain is now located in the RLQ. Upon auscultation, bowel sounds are hypoactive. Guarding noted with palpation, reports tenderness in RLQ, positive McBurney sign. Low grade fever noted, nausea with 2 episodes of vomiting...