A 50-year-old male patient with no previous history of mental health problems presents with depressive symptoms. He reports recently being placed on a medication for his newly diagnosed hypertension and notes that his sadness started shortly after starting this medication. Which of the following class of medications is the most likely cause of his new symptoms?
Read DetailsA 67-year-old man has had progressive dyspnea for the past 2 years with cough productive of small amounts of white sputum on most days of the week. The cough and shortness of breath sometimes awaken him from sleep. His past medical history is significant for hypertension and glaucoma. He has a 40 pack-year history of smoking and drinks 1-2 beers on weekends. Physical examination reveals prolonged expiration, wheezes and rhonchi over both lung fields. No peripheral edema is noted. Chest radiograph shows hyperinflation. Which of the following is the most likely diagnosis?
Read DetailsA 15-year-old girl is being evaluated for a heart murmur. She is asymptomatic. On physical examination, her blood pressure is 174/104 mm Hg on her right arm. Her pulses are 2+ on her upper extremities. The femoral pulses are slightly lower in amplitude than the radial pulses. Her cardiac examination reveals a short midsystolic murmur in the left infrascapular area. For this patient, which of the following is most likely to be found on additional studies?
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