Musculoskeletal : Denies history of fractures , gout , and arthritis . Denies myalgias and arthralgias . Denies back and neck pain and trauma . Denies generalized weakness . Does not exercise regularly . Neurological : Denies fainting , dizziness , vertigo , weakness...
A 28-year-old man, recently emigrating from the Philippines, was noted to have a positive tuberculin skin test result in the clinic. His chest radiograph showed no active tuberculosis, and he denied any symptoms of this infection, including weight loss, cough, or...
An adult patient who is right-handed is in the emergency department with severe pain and anxiety related to burns sustained during a small grease fire at work. Assessments reveal multiple first- and second-degree burns to the right leg and arm, including the hand....
A patient at 12 weeks is admitted for a therapeutic abortion due to a chromosome abnormality in the fetus. A D&C is performed, resulting in a complete abortion. Her postoperative course is complicated by shock caused by acute blood loss due to hemorrhage with...
lifford is a 12-year-old boy with chronic pain. He wakes up one morning and experiences sudden flashes of pain in his legs. He goes to school but cannot concentrate on his teacher because he is distracted by the pain in his legs. Due to this distraction, the teacher...
A 28-year-old man, recently emigrating from the Philippines, was noted to have a positive tuberculin skin test result in the clinic. His chest radiograph showed no active tuberculosis, and he denied any symptoms of this infection, including weight loss, cough, or...
Odessa is a 54-year-old woman, 5″4″, 185 lbs, complaining of headaches, lightheadedness and dizziness. These symptoms have been occurring over the past several months but are getting worse. Now, this morning, she reports experiencing a nosebleed. She had...
A 16-year-old presents to the clinic with a history of heavy and prolonged menstrual bleeding since her menarche at 13 years of age. Her cycles have been regular for the last year, but they have always been heavy. Her family history is relevant for heavy menstrual...
Penny is a 38 year old female with a history of IV drug use, currently in an outpatient treatment program. She had an IUD inserted a year ago. She presents with complaints of abdominal pain and vaginal discharge. She has no systemic symptoms, and her pain on exam is...
Mr. Padhiar, age 74, is admitted to the emergency department (ED) with an exacerbation of COPD. He reports shortness of breath that has worsened over the past week. The patient sits on the side of the bed and leans forward over the bedside table with his weight...
You think that your niece is a very beautiful 15-year-old. At 5’5″, she weighs 130 pounds, which her physician says puts her in the middle of the healthy BMI range. However, you have noticed that she has become a very picky eater and rarely finishes her...
Max’s parents brought the 7-year-old to his pediatrician’s office for an annual well-child exam. Max’s two brothers, Sammy, 5 years old, and Henry, 8 years old, each drew on paper given to them by the staff while they waited quietly just outside the...