More articles from Im Board Review
- A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
- A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
Workup revealed the patient had both arterial and venous thrombosis. What was the cause?
- A 50-year-old woman with new-onset seizure
After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.
- Abdominal pain and bloody diarrhea in a 32-year-old woman
The patient also has numerous painful ulcerations on her skin and in her mouth.
- Fever after recent travel
The patient had been taking a TNF-alpha inhibitor and had recently returned from Mexico.
- Acute monocular vision loss: Don’t lose sight of the differential
An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.
- Weight loss, fatigue, and renal failure
A 37-year-old man has gradually lost 100 lb over the past 2 years, with progressive fatigue and malaise.
- Postoperative delirium in a 64-year-old woman
Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?
- Another complication of cirrhosis
A patient with cirrhosis presents with acute abdominal pain and shock.
- Big heart, small ring
A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.