A 75-year-old man complains of chest pain while climbing stairs. On physical examination, there is a II/VI systolic ejection murmur that radiates to the neck. The carotid upstrokes are delayed and diminished in volume. What is the likely diagnosis?
Following a bar fight, a 22-year-old man is brought unconscious to the emergency department. Several minutes earlier, he had been hit on the head with a heavy iron club and had been briefly unconscious, but had then apparently recovered. One or two minutes later, he had again lost consciousness. Which of the following is the most likely diagnosis?
A 42-year-old woman presents to the clinic for a routine visit. Her father and brother were diagnosed with colon cancer at ages 49 and 43, respectively. She denies abdominal pain, weight loss, melena, hematochezia, or changes in stool caliber. What is the best option for colorectal cancer screening in this patient?
Which of the following is used in the diagnosis of an anaphylactic reaction?
A 60-year-old man, who is a heavy smoker, presents for advice on how to stop smoking. On physical examination, he is thin and has a ruddy complexion. He has a productive cough and a barrel-shaped chest. He sits leaning forward with his lips pursed to facilitate his breathing. What is the most likely histologic finding in the lungs?
A patient diagnosed with acute MI develops dyspnea. On physical examination, the vital signs were as follows: heart rate (HR) of 96, respiratory rate (RR) of 22, and blood pressure (BP) of 120/70. An S3 gallop is appreciated. A chest x-ray was performed, revealing pulmonary edema. What is the Killip classification for this patient?
A 45-year-old male with HIV sought consultation for edema. Physical examination revealed normal blood pressure and grade II bilateral edema. Auscultation was normal. A urinalysis was requested, which revealed +4 proteinuria and negative RBC/WBC findings. Blood chemistry revealed a serum albumin of 1.2g/dl and elevated triglycerides. What is the most likely finding in light microscopy?
A patient was recently diagnosed with carcinoid syndrome and seeks consult for diarrhea and photosensitive dermatitis. On physical examination, an erythematous, pigmented skin rash in the distribution of a broad collar (Casal necklace) was noted. Which deficiency is the patient probably suffering from?
A 30-year-old male patient, who recently underwent chemotherapy for leukemia, presented at the ER with signs and symptoms of acute renal failure and seizures. Labs revealed hypocalcemia, hyperuricemia, hyperphosphatemia, and hyperkalemia. Which of the following may be given to prevent this condition?
What is the drug of choice for diabetic gastroparesis in a 65-year-old male with poorly controlled DM and a 15-year history of the disease? He seeks consultation due to constantly feeling fullness even after only a few bites, occasionally accompanied by nausea or abdominal pain. An ultrasound was performed, revealing normal findings.