A 3-year-old girl presents with a 1-day history of irritabil…
A 3-year-old girl presents with a 1-day history of irritability and weakness in her legs. Neurologic exam reveals an ascending symmetrical paralysis with cranial neuropathy. A lumbar puncture is performed and cerebrospinal fluid is found to have a normal glucose level,
Read DetailsA 36-year-old male presents with a 3-month history of a prod…
A 36-year-old male presents with a 3-month history of a productive cough and reports that the cough produces a scant amount of yellow sputum, which is occasionally blood-streaked. He has also had an evening temperature rise (101° F) for the past 3 months. He has lost a significant amount of weight during this period. Patient is a non-smoker. He emigrated from India 5 years ago, and his medical records are not available. Coarse upper lobe crackles and rhonchi are heard bilaterally. CXR reveals multiple bilateral upper lobe cavities with surrounding infiltrate. Which of the following clinical findings would confirm your diagnostic suspicion?
Read DetailsA 43-year-old female is admitted for evaluation of nausea, e…
A 43-year-old female is admitted for evaluation of nausea, emesis, ataxia, and dizziness. Previous medical history reveals HIV (+) status for 4 years with the most recent CD4 count of 100/mm3. Vital signs and neurologic examination are normal. MRI shows 2 ring-enhancing lesions of the basal ganglia, each approximately 1 cm in diameter. The patient is treated with sulfadiazine plus pyrimethamine and she is discharged following rehydration. Within 1 week, the patient’s symptoms improve and a second MRI 4 weeks later shows a significant reduction in the size of the lesions. Which of the following conditions is the most likely diagnosis for this patient?
Read DetailsThe temporomandibular joint (between your jaw and skull) is…
The temporomandibular joint (between your jaw and skull) is a synovial joint. It contains within it a fibrocartilaginous articular disk. True or False: damage to the center of this disk is unlikely to heal on its own without surgical repair.
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