A 55-year-old patient is admitted with refractory hypertensi…
A 55-year-old patient is admitted with refractory hypertension, severe hyperglycemia, proximal weakness, easy bruising, hypokalemia, and recurrent cellulitis. The clinician suspects Cushing syndrome. What is the best first clinical question?
Read DetailsA 46-year-old patient is admitted after experiencing a first…
A 46-year-old patient is admitted after experiencing a first-time generalized tonic-clonic seizure. The patient’s spouse also reports recent personality changes and increasing confusion. The AGACNP suspects an intracranial lesion and begins diagnostic evaluation. Which imaging modality is considered the gold standard for evaluating a suspected primary brain tumor?
Read DetailsA 74-year-old patient with type 2 diabetes and end-stage kid…
A 74-year-old patient with type 2 diabetes and end-stage kidney disease on hemodialysis is admitted after receiving two units of packed red blood cells. The A1C returns at 5.8%, but inpatient glucose readings are repeatedly 220–310 mg/dL. Which conclusion is best?
Read DetailsA 69-year-old man with prior abdominal surgery presents with…
A 69-year-old man with prior abdominal surgery presents with vomiting, distention, and abdominal pain. CT shows small bowel obstruction with a closed-loop configuration, mesenteric edema, and reduced bowel wall enhancement. Which management is most appropriate?
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