More articles from Im Board Review
- A 39-year-old man with sudden onset of chest pain
He has a history of a transient ischemic attack and poorly controlled hypertension. What is the likely diagnosis?
- Fever in a returned traveler
Six weeks after returning from Manaus, Brazil, he has recurring symptoms of fever, nausea, vomiting, diarrhea, headache, and malaise. What is the likely diagnosis?
- A 56-year-old man with hypercalcemia
He has no symptoms, but his liver is palpable and his calcium, glucose, and creatinine concentrations are elevated. What is the cause?
- Fever, chills, and chest radiographic infiltrates in a middle-aged woman
A woman with a history of asthma, hypothyroidism, nephrolithiasis, and bowel problems has worsening shortness of breath. She also has an interesting hobby.
- An elderly woman with leg swelling and pain
Six days after she started treatment for deep venous thrombosis, her platelet count drops to 60 × 109/L. What is the cause?
- Nonhealing skin lesions in a sailor and a journalist returning from Iraq
The differential diagnosis of chronic ulcerative or nodular skin lesions in returned personnel is broad.
- A 46-year-old woman with rigidity and frequent falls
Her symptoms began 3 years ago and have progressed rapidly. Is it Parkinson disease, or is it another movement disorder?
- A construction worker with recent confusion, disorientation, and somnolence
What is the cause of this patient’s symptoms: the bump on the head he received at work, or his “occasional” drinking?
- A 48-year-old woman with nausea, vomiting, early satiety, and weight loss
She has lost 20 pounds in the last 1 1/2 years. What is the cause, and what is the treatment?
- A 76-year-old woman with erratic anticoagulation
A patient previously controlled on warfarin now has bleeding and an INR of 7. What has changed?