A 38-year-old woman with a history of mitral valve prolapse…
A 38-year-old woman with a history of mitral valve prolapse (MVP) without regurgitation is scheduled for a routine dental extraction. She expresses concern about the risk of infective endocarditis and asks if she needs antibiotics before the procedure. What is the most appropriate response?
Read DetailsMrs. Johnson is a 62-year-old female with a body mass index…
Mrs. Johnson is a 62-year-old female with a body mass index (BMI) of 24 and a history of asthma. She has hypertension that has been under control with hydrochlorothiazide 25 mg PO daily. Her total cholesterol is 230 g/dl. How many risk factors for coronary heart disease (CAD) does she have?
Read DetailsA 32-year-old female presents to the clinic with lower abdom…
A 32-year-old female presents to the clinic with lower abdominal pain. On physical examination, passive extension of the right hip while the patient lies on their left side elicits pain. This finding suggests irritation of which structure and is most commonly associated with which condition?
Read DetailsThis 29 year man just returned from his international busine…
This 29 year man just returned from his international business trip to the Philippines. He spent 1 month exploring the country during this time frame. He has been experiencing some malaise, a non productive cough and a low grade fever which he thinks is from all of his travels. You get a Chest xray seen below. What is your diagnosis?
Read DetailsA 42-year-old female presents with right upper quadrant pain…
A 42-year-old female presents with right upper quadrant pain, nausea, and fever. During the physical examination, you palpated her right upper quadrant while asking her to take a deep breath. She suddenly stops inhaling due to pain. This finding is known as:
Read DetailsA 74-year-old female complains of fatigue for 1 months, 10-p…
A 74-year-old female complains of fatigue for 1 months, 10-pound weight loss, diplopia and complains of a headache that does not resolve with anything she tries. She also notices a pronounces vessel on the right side of her head that seems to pulse. What do you think this patient has?
Read DetailsAn adult patient presents for evaluation of a pigmented lesi…
An adult patient presents for evaluation of a pigmented lesion on the upper back that has changed in appearance over several months. On examination, the lesion is asymmetric, has irregular borders, and shows variegated pigmentation with areas of brown, black, and reddish coloration, as shown in the image. Which of the following is the most likely diagnosis?
Read DetailsA patient presents with localized eyelid swelling, erythema,…
A patient presents with localized eyelid swelling, erythema, and tenderness as shown in the image. There is no vision change, fever, or systemic symptoms. What does this condition represent, and what is the MOST appropriate initial treatment?
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