On exam you find a painless vulvar ulcer. Which of the following is the most appropriate long term management in this pt Radiofrequency ablation 26 yo woman requests screening after her boyfriend was treated for an STD. Electrocardiogram reveals a delta wave prominent in lead II. He admits to associated SOB and lightheadedness. Dx small cell lung cancer Otitis externa can be differentiated from uncomplicated otitis media by which of the following PE findings normal pneumatic otoscopy 20 yo male presents with complaint of brief episodes of rapid heart beat with a sudden onset and offset that have increased in frequency. On reviewing pathology results you explain to the pt that his type fo lung cancer is prone to early hematogenous spread, is rarely amenable to surgical resection and has a very aggressive course. Chest CT shows a mass obstructing the bronchus with hilar and mediastinal lymph node abnormalities.
Initial study of choice echocardiogram 62 yo male smoker presents to the clinic with c/o chronic cough, hemoptysis, and weight loss. There is a grade III/VI high pitched, harsh pansystolic murmur heard best at the 3rd and 4th left intercostal spaces with radiation across the precordium. Heart exam reveals a normal S1 with a physiologically split S2. On exam you note a well developed, well nourished infant in no apparent distress. what would you expect her to weigh at 1 year of age 24 pounds 3 month old female presents with her Mom for PE. Dx rotator cuff tear Newborn weighs 8 pounds at birth. He has strong (5/5) adduction of his right shoulder but considerable weakness (1/5) with abduction when raising his arm above his head. On PE, there is no evidence of muscle atrophy. His sxs are aggravated when working above the shoulder level. What is the modality of choice to further evaluate her breast mass ultrasound 60 yo right hand dominant male presents to your office complaining of right shoulder pain and progressively worsening arm weakness. You palpate a 2cm breast mass in her right breast. Besides cleaning and debriding the wound, what is the recommended intervention administer tetanus-diptheria toxoid (Th) and tetanus immune globulin (TIG) 25 yo female presents for a routine gynecological exam. The pt is unaware of his tetanus immunization status. On exam of his right hand you note a dirty 3cm jagged laceration. He cut his hand while tearing down a chicken coop. Dx rosacea 25 yo male presents to the ED for eval of a wound on his hand. On exam, telangiectasias are noted along the nasal folds and tiny pustules on both cheeks. These sxs worsen when she eats spicy food. followed by the development of tiny papules and pustules primarily on her cheeks and chin.
#Packrat test skin
Most appropriate recommendation recommend walking frequently during the flight 43 yo woman presents with episodes of facial flushing with increased skin temp. Heart is regular rate and rhythm without murmur, lungs are clear to auscultation bilaterally and extremities are without edema. The pt is preparing for a trip in Australia and is worried about the long flight as her Mom has a hx of DVT after a long trip several yaers ago. She has no current complaints and her only medication is oral contraceptives. Tx of choice for this pt Oseltamivir (tamiflu) 36 yo female presents for routine PE. On exam pt temp is 102F, the rest of the exam is unremarkable. What would be the most appropriate traetment for this pt Gluten-Free diet Hypoglycemia in an elderly pt with diabetes is most likely to manifest as what sx Mental confusion An 85 yo nursing home resident presents witha abrupt onset of cough, sore throat, HA, myalgias, and malaise. She says she felt worse last month while on vacation in Italy. Which of the following findings would be most concerning on the PE of this pt Telangiectasia 24 yo female presents with c/o abd pain, bloating, and chronic diarrhea.
The papule has been bleeding off and on for hte past couple weeks. Most appropriate treatment to rapidly lower the patient's INR administer FFP 72 yo farmer comes to the office for eval of a pearly ulcerated papule on his right nostril. 68 yo male with a h/o a-fib treated with warfarin (Coumadin) presents to the ED after vomiting large amounds of bright red blood.
0 kommentar(er)
