More articles from Im Board Review
- A 56-year-old with diarrhea and weakness
The patient has unintentionally lost 137 lb over the past year. What is the cause?
- Ankle pain in a young woman with Gaucher disease
Gaucher disease causes hepatomegaly, splenomegaly, bone marrow disease, bone pain, bone infarcts, and lytic lesions.
- A 79-year-old with acute portal vein thrombosis
The patient, who had a history of polymyalgia rheumatica treated with corticosteroids, presented with chills and fever.
- A 57-year-old woman with abdominal pain
She was admitted with a diagnosis of acute diverticulitis, but then one thing led to another.
- When the dissociation curve shifts to the left
The patient’s clinical signs and oxygen saturation monitor indicated hypoxemia, but her blood gases were normal.
- A 41-year-old man with abdominal pain
His symptoms and imaging findings suggested an infarction in the spleen, but what caused the infarction?
- A 61-year-old man with fluctuating hypertension
In this patient with diabetes, an episode of hypoglycemia led to an unexpected discovery.
- Swelling and pain 2 weeks after a dog bite
At first the bite seemed to improve, but now it is worsening, with red streaks from wrist to elbow.
- A 20-year-old woman with fatigue and palpitations
Her blood pressure is 92/48 mm Hg, and her electrocardiogram shows abnormalities. What is going on?
- An 85-year-old with muscle pain
When preventive therapy causes side effects, physicians face a dilemma.