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 and what initial diagnostic study would confirm your diagnosis?
What physical exam finding distinguishes allergic rhinitis from other rhinitis etiologies?
A 32 yo male presents with an 1 month history of weakness, anorexia, and weight loss. On exam he is hypotensive and his skin has diffuse hypopigmentation. Plasma cortisol levels drawn at 8AM are low. Which is the most likely diagnosis?
A 72 yo female presents to clinic c/o constipation. Upon examination and questioning you reveal over the last 6 months she has had marked weight loss, anemia, hematochezia, and today is postive for fecal occult blood test. What is your likely diagnosis that must be ruled out with what diagnostic test.
A 75 yo male presents with a history of coronary artery disease and dyslipidemia. Exam reveals loss of hair on the lower extremities bilaterally with thinning of the skin. Femoral pulses are 2/4 bilaterally, pedal pulses are diminished. Anke brachial index is reduced. What is your diagnosis and what symptom would you expect with walking.
What is the typical patient history consistent with Rheumatoid Arthritis? Include onset, AM symptoms, joint symptoms, and symmetry.
A 23 month old presents in the ED with acute onset of severe pharyngitis, fever of 103.5 F and what sounds like harsh, high-pitched breath sounds. The child is drooling and seems to clinically be rapidly worsening. The child has not been immunized due to religious reasons. What is the most likely diagnosis and what is the most appropriate emergent treatment?
1. These enlargement are called Heberden's node and are ordinarily found in essential osteoarthritis.
2. Diagnosis is diastolic murmur
This patient has history discoveries reliable with aortic
inadequacy which is portrayed by a diastolic murmur that is
accentuated when the patient sits up and inclines forward.
3.diagnosis is cerebral hemorrhage
A CT scan is is increasingly touchy in recognizing cerebral
hemorrhage in the initial 24 to 48 hours
4. On physical examination, the mucosa of the turbinates is generally pale or violaceous with hypersensitive rhinitis in view of venous engorgement as opposed to the erythema of viral rhinitis.
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Bony and cartilaginous enlargement of distal interphalangeal joints is commonly seen in what condition and what...
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