A 27-year-old woman presents to her primary care physician f…
A 27-year-old woman presents to her primary care physician for a general checkup. She has been doing well in school and has no complaints. The patient has a past medical history of asthma which is controlled with albuterol. She is currently sexually active but states that she uses birth control. She has many friends and states that her mood is typically positive. The patient’s last pap smear was 1 year ago. Her father died of colon cancer at the age of 68, and her mother was diagnosed with breast cancer at the age of 65. Her temperature is 98.7°F (37.1°C), blood pressure is 147/110 mmHg, pulse is 80/min, respirations are 15/min, and oxygen saturation is 99% on room air. The patient’s BMI is 19 kg/m^2. Physical exam demonstrates a normal S1 and S2, normal breath sounds, and an abdominal exam that is within normal limits. Which of the following is the most appropriate next step in management?
Read DetailsA 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 Details