A 55-year-old man presents to his primary care physician for…
A 55-year-old man presents to his primary care physician for a wellness checkup. He states that he generally feels well and has no complaints at this time. The patient consumes alcohol frequently, eats a high sodium diet, is sedentary, and meets criteria for class-I obesity. His temperature is 97.5°F (36.4°C), blood pressure is 167/108 mmHg, pulse is 90/min, respirations are 15/min, and oxygen saturation is 99% on room air. The patient’s blood pressure at his last 2 appointments were 159/100 mmHg and 162/99 mmHg, respectively. His physician wants to intervene to manage his blood pressure. Which of the following is the most effective treatment for this patient’s hypertension?
Read DetailsA 58-year-old man receives a kidney transplant. Two weeks la…
A 58-year-old man receives a kidney transplant. Two weeks later, his creatinine levels rise and a biopsy reveals infiltration of lymphocytes and evidence of vascular injury in the transplanted kidney. Which of the following best explains the immunologic basis of this reaction?
Read DetailsA 25-year-old female comes to you with a 4-months history of…
A 25-year-old female comes to you with a 4-months history of fatigue. Her history is unremarkable; she had no major medical illness. She has noticed that during the past 12 months her menstrual periods have become heavier and longer for 7 to 9 days with very heavy flow. On examination, the patient appear pale , BP 100/70 mmHg. Blood smear is shown below. Her Hb is 9.5 g/dl. What is the most likely cause of her disease?
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