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 abdominal exam of this patient and what would be her presentation of her lymph nodes?
Your patient has just delivered her baby vaginally without difficulty. The patient has a laceration of the vaginal mucosa that extends through the rectal sphincter, but not the rectal mucosa. On the chart you document the repair of what type of tear?
A 36 yo male presents for follow up to his hypertension. He is currently on 3 anti-hypertensive medications without improvement of his BP. On exam, his BP is 170/86, HR is 60 BPM and regular. Auscultation of heart and lungs are normal. Abdominal exam reveals a bruit over his left upper abdomen. What is the most likely underlying etiology for this patient’s hypertension and what diagnostic test would your order for this patient to confirm your diagnosis?
A patient presents with small, irregular pupils which are seen that react with near vision but not to light. What is the term describing this condition and what diagnosis usually will accompany this situation?
A 31 year old female complains of diarrhea. She admits to associated weight loss and steatorrhea, but denies melena or hematochezia. What is the most likely diagnosis?
What phase of the female menstrual cycle occurs at the time of an elevated estrogen and LH / FSH surge?
A 27 yo male healthy nonsmoker with no underlying medical history is diagnosed with an upper extremity venous thrombosis. What is the most likely factor abnormality found in this patient?
A 34 yo female construction worker presents with episodic blanching of her fingers when exposed to cold weather or stressful situations. On exam, her digits appear normal at this time. What is your likely diagnosis?
1. The likely diagnosis is septic arthritis
This present patient's signs and indications are most predictable with septic arthritis. IV drugs misuse puts this patient at much more serious hazard
2.paitent of CML have splenomegaly on physical examination .CML patients present with an amplified spleen. And effrct on lymph nodes is that they are enlargerd
3.A second degree tear includes the basic subcutaneous tissues, yet not the rectal sphincter or rectal mucosa.
4.Renal supply route stenosis is portrayed by hypertension that is impervious to at least three prescriptions and renal course bruits on examination.
Renal angiography is the most effective diagnostic method for this
Hope you find this helpful thank you ☺️
A 41 yo male with a history of IV drug abuse presents with acute, nontraumatic 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 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 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 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...
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...
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...
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...
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 40-year-old male with a history of intravenous drug use comes to the emergency room because of a rash and fever. In addition, the patient is complaining of a several-day history of malaise, fatigue, fever, headache, and a sore throat. Physical examination reveals a moderately ill-appearing male with a temperature of 101.6°F. He has a blanching erythematous, macular-papular rash evident over the trunk, back, and upper and lower extremities. In addition, his throat shows enlarged tonsils and broad-based ulcerations on...
A 51-year-old male presents to your office with left lower abdominal pain, diarrhea, nausea, and vomiting. He states that he has a decreased appetite along with a low-grade fever and chills. His past medical history includes a diagnosis of hypertension and obesity. He is a smoker. Upon arrival, his vital signs are normal aside from a pulse of 102 and a temperature of 100.0. On exam you note the patient is visibly uncomfortable. When you exam his abdomen, you note...