(HC)The passage below is an excerpt from leaflets dropped on…
(HC)The passage below is an excerpt from leaflets dropped on Japanese cities after the United States dropped an atomic bomb on Hiroshima: [B]ecause of your leaders’ refusal to accept the surrender declaration that would enable Japan to honorably end this useless war, we have employed our atomic bomb. The Soviet Union, because of this rejection on the part of the military, has notified your Ambassador Sato that it has declared war on your nation. Thus, all powerful countries of the world are now at war with you. Source: http://www.pbs.org/wgbh/americanexperience/features/primary-resources/truman-leaflets/ What did the United States hope would result from this leaflet?
Read Details25 year old female with a history of obesity but no other PM…
25 year old female with a history of obesity but no other PMH reports irregular menstrual periods and an inability to conceive. The patient reports she gets her periods only few times a year. Each menstruation typically last for a few weeks. Last LMP was few months ago. The patient also reports she has been trying to get pregnant for about 6 months with no luck. The patient denies any recent significant weight loss or weight gain. On exam, patient is no distress. She is significantly overweight. (+) visible facial hair. Skin is significant for diffuse acne. On pelvic exam: cervix is closed with no lesions, uterus non-tender, no adnexal masses, no pelvic motion tenderness. Otherwise, exam is unremarkable. VS: BP: 120/70 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide differential diagnosis for this presentation (list at least 5) AND what imaging would be indicated for this case.
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