Baby, I was born this way
A 53-year old male presents with painless jaundice that started last night. The patient admits to a 14-pound weight loss over 3 months and has a diminished appetite. Upon evaluation, the patient appears jaundiced. The only abdominal abnormality per exam is a hard palpable periumbilical nodule. The initial plain abdominal radiograph series reveals widening of the duodenal loop, and an initial urinalysis reveals glycosuria. Further tests are pending. This is the most likely diagnosis.
You have recently diagnosed a 45-year-old female with rheumatoid arthritis, and to this point, she has only been using acetaminophen (Tylenol) for her symptoms which has provided no relief. This class of medications is most appropriate for this patient to try next.
You are following a 15-year old male for a syncopal episode he experienced during basketball practice. Your physical examination was unremarkable, but you sent him for an echocardiogram and cardiology follow-up. Today the echo report has arrived and noted marked hypertrophy of the ventricular septum. This is the most likely diagnosis.
A 10-year old male is brought to your clinic by his mother. He is having daily symptoms of clear runny nose, sneezing, itchy throat and eyes, and a cough that is worse at night. On physical exam, you note dark circles under his eyes, pale boggy nasal mucosa, and cobblestoning of the oropharynx. This is the most appropriate first-line class of medications to treat this patient with.
A 55-year old male presents to your office because he has been having fevers on and off for the past month, without apparent infection. He has also been overly tired, and his wife finally convinced him to see a doctor. Physical exam reveals cervical adenopathy, and a palpable liver and spleen. Blood testing reveals leukocytosis, and a peripheral smear shows smudge cells. This is the most likely diagnosis.
A mother presents with her 17-month old female child. She reports that the child suddenly started crying and pulling her legs up to her chest for no apparent reason. She subsequently began to vomit. On exam the patient was noted to have a distended abdomen and a sausage-shaped mass is palpable in the mid to lower right abdomen. The diaper is noted to contain a large amount of stool resembling red currant jelly. This is the most likely diagnosis.
Name 3 cardiac biomarkers used for the detection of MI.
What are Troponin I, Troponin T, Myoglobin, CK, CK-MB?
One of your patients who is 32 weeks pregnant presents to the clinic complaining of dizziness, fatigue and headache. Her blood pressure had been somewhat elevated during the pregnancy but today is measured at 180/100 mmHg. She is mildly confused and seems lethargic. Blood work ordered in conjunction with today’s visit shows thrombocytopenia, anemia, and elevated levels of AST and ALT. This is the correct diagnosis.