A 33-year-old female comes to the office of her primary care…
A 33-year-old female comes to the office of her primary care physician complaining of fatigue, weight gain, and non-specific aches and pains for the last year or so. She denies fever, cough, abdominal pain, dysuria, or visual changes but has had constipation recently. She feels increasingly tired day by day. Her weight gain of approximately 10 pounds in the last year has made her depressed and tired. Her best friend repeatedly tells her that her voice is deeper and raspier on the phone. On further questioning by her doctor, she admits to cold intolerance. Vital signs: T: 96°F, HR: 56/min, BP: 110/70 mm of Hg. HT: 5’3″ WT: 156 pounds. Heart sounds are RRR S1S2 without murmurs, rubs or gallops; Lungs are clear to auscultation in all lung fields; Abdomen is soft, non-tender, non-distended, with no organomegaly; Skin appears somewhat dry and scaly, and her hair is coarse. Laboratory testing is ordered and results are pending. Which of the following test results would you expect to find in this patient?
Read DetailsA 42-year-old man presents to the emergency department with…
A 42-year-old man presents to the emergency department with complaints of fever, headache, joint pains, and a dry cough for the past six days. Three days ago, he started developing dyspnea. He has a recent medical history of gastroesophageal reflux disease for which he takes famotidine. The patient lives in Ohio and has never traveled outside the country. Vitals show a temperature of 38.1°C (101°F), respirations of 22/min, a pulse of 105/min, and blood pressure of 100/60 mmHg. Physical examination reveals tender nodules on his shins, bilaterally. Pulmonary examination reveals bilateral crackles. Which of the following may be seen on a chest x-ray of this patient?
Read DetailsA 64-year-old male presents with scrotal swelling; he has ha…
A 64-year-old male presents with scrotal swelling; he has had the swelling for the past few months. It is not bothering him, but his wife wants him examined. His PMH is not significant for any other GU history or symptoms. A genitourinary examination reveals a right hydrocele. Which of the following physical examination findings would support this diagnosis?
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