A 45-year-old male presents with shortness of breath and che…
A 45-year-old male presents with shortness of breath and chest pain after a long flight. On examination, his respiratory rate is 28 breaths per minute, and his oxygen saturation is 88% on room air. On auscultation, you note decreased breath sounds and tachycardia. What is the most concerning finding in this patient?
Read DetailsDuring history taking, a mother states that her 3 year-old s…
During history taking, a mother states that her 3 year-old son awoke in the middle of the night complaining of intense itching to his face. Today, your inspection reveals a honey-colored exudate from the vesicular rash on his face. Which condition is consistent with these findings?
Read DetailsA 40-year-old female presents to the clinic with a 4-day his…
A 40-year-old female presents to the clinic with a 4-day history of progressive shortness of breath, fever, and productive cough with yellow-green sputum. She has a history of asthma but no other significant medical conditions. On examination, her vital signs show a temperature of 102°F (38.9°C), respiratory rate of 22 breaths per minute, and oxygen saturation of 93% on room air. You are suspecting this patient may have pneumonia. Which of the following is the most likely finding of your assessment in a patient with pneumonia?
Read DetailsA 68-year-old male with a history of diabetes and hypertensi…
A 68-year-old male with a history of diabetes and hypertension presents to the emergency department with complaints of worsening fatigue, fever, and a new rash on his legs and torso. On examination, he is febrile (101°F), tachycardic, and has patches of purpura and ecchymosis scattered over his lower legs, as well as areas of pale, cool skin. His blood pressure is 90/60 mmHg. Which of the following physical exam finding is the most concerning in this patient?
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