A 58-year-old woman reports dark urine, pale stools, and gen…
A 58-year-old woman reports dark urine, pale stools, and generalized itching. She denies alcohol use. Physical examination reveals jaundice. Laboratory tests show elevated alkaline phosphatase and total bilirubin with only mild AST/ALT elevation. Which category best describes her jaundice?
Read DetailsA 72-year-old patient presents to your clinic complaining of…
A 72-year-old patient presents to your clinic complaining of feeling lightheaded when getting out of bed in the morning. Upon examination, you note a drop of 22 mmHg in systolic blood pressure when the patient moves from lying to standing. Which of the following symptoms is least commonly associated with orthostatic hypotension?
Read DetailsA 55-year-old woman is recovering from laparoscopic cholecys…
A 55-year-old woman is recovering from laparoscopic cholecystectomy for acute calculous cholecystitis. She feels well and is preparing for discharge. She asks how soon she can resume her normal diet and activities. Which discharge instruction is most appropriate?
Read DetailsAn 18-year-old woman presents with right-lower-quadrant abdo…
An 18-year-old woman presents with right-lower-quadrant abdominal pain that began periumbilically and migrated. Examination reveals localized tenderness and pain with passive extension of the right hip. Which finding best describes the elicited sign and its implication?
Read DetailsA 36-year-old man undergoes routine laboratory screening. Re…
A 36-year-old man undergoes routine laboratory screening. Results show hepatitis B surface antigen positive, hepatitis B core IgM antibody positive, and hepatitis B surface antibody negative. He reports fatigue and mild nausea but denies alcohol use. What do these findings indicate?
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