Omar is African American, but he is also a young, middle-cla…
Omar is African American, but he is also a young, middle-class college student who identifies as bisexual. Rather than thinking of any particular racial group as a monolithic category, scholars who take an intersectional approach pay attention to
Read DetailsConsider a neighborhood that is 50 percent African American,…
Consider a neighborhood that is 50 percent African American, 20 percent Hispanic, and 30 percent White. In this neighborhood, the political candidates for local office include three African Americans, three White people, and one Hispanic person. Residents in this neighborhood turn out to vote in higher rates than any other neighborhood in the city, with White residents most likely to support White candidates and oppose policies that support people of color within the neighborhood. What term is used to explain this phenomenon?
Read DetailsA 64-year-old woman presents for evaluation of recent loss o…
A 64-year-old woman presents for evaluation of recent loss of appetite, abdominal cramps, constipation, and “bright red blood” in her stool. The patient reports that she was in good health until approximately 6 weeks ago, when she noted occasional cramps in the left lower quadrant of the abdomen associated with constipation. The episodes of cramping last about 30 minutes each and are most severe in the hour following her meals. She has taken laxatives which have partially relieved her symptoms, but she has had a decreased appetite and 12-pound weight loss over the past four weeks. In addition, she has become increasingly fatigued over this period. When questioned about her bowel habits, she reported bright red blood in her stools and a smaller caliber (i.e. diameter) of stool over the past two weeks. She appeared fatigued and distressed. Head and neck exams were normal, as was her thorax. Palpation of the abdomen revealed a 10 x 10 cm mass and tenderness in the left lower quadrant. Hepatomegaly was noted, and a hard and slightly tender liver edge was felt in the right upper quadrant. Bowel sounds were noticeably reduced. Based on this information, which of the following conditions would you consider to be the most likely cause of the patient’s symptoms?
Read DetailsPt. is a 48-year-old male with PMH significant for PUD, who…
Pt. is a 48-year-old male with PMH significant for PUD, who presents complaining of sudden onset intense epigastric pain four hours ago. Abdominal exam reveals rigidity on palpation in epigastric region; tympanic on percussion. Match the patient case with the correct Abdominal x-ray image below.
Read DetailsA 48-year-old male presents for evaluation of recent onset d…
A 48-year-old male presents for evaluation of recent onset dysphagia. A barium swallow is ordered and the results revealed ‘bird-beak’ appearance of the lower esophagus, dilatation of the esophagus, and retention of barium in the esophagus (see image below). Based on this information, which of the following conditions is the most likely diagnosis for this patient?
Read DetailsA middle-aged woman comes to her doctor complaining of profu…
A middle-aged woman comes to her doctor complaining of profuse, bloody diarrhea and abdominal cramps which started this afternoon. She states that she went to a restaurant a day before and ate a hamburger “that looked pink and undercooked.” She looks uncomfortable due to the cramps but not dehydrated. She has no fever and her blood pressure and pulse are within normal limits. Which of the following pathogens is the most likely cause of this condition?
Read DetailsA 54-year-old male presents with a sudden onset of left lowe…
A 54-year-old male presents with a sudden onset of left lower quadrant pain, fever, and guarding. Vital signs reveal that the patient is hypotensive and tachycardic. He appears septic. Initial CBC results are as follows: WBC 15,000; Hgb 12.2; HCT 37%; Platelets 150,000. WBC differential reveals a left shift. You suspect diverticulitis with a probable perforation. Which of the following interventions would best confirm the diagnosis?
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