A 25-year-old female presents to the office after visiting t…

A 25-year-old female presents to the office after visiting the emergency room over the weekend. She recently had surgery for a broken ankle but developed a fever, felt like her heart was racing, and was very anxious. Upon presentation to the ER, she was found to have a TSH of 0.8 and was diagnosed with thyroid storm. She is unaware of any thyroid history but hasn’t felt “right” for the past year, reporting weight loss, fatigue, and tremors. She was treated for the storm and referred to you. Which of the following is she likely to have that has not yet been diagnosed?

A 24-year-old man is referred to your practice for elevated…

A 24-year-old man is referred to your practice for elevated cholesterol level. The patient has a father and two siblings with high cholesterol levels on medications. His 31-year-old brother recently had a myocardial infarction. On physical examination, the patient has bilateral arcus senilis. His extremities are remarkable for diffuse and nodular thickenings of the Achilles tendon. What is the most likely diagnosis?

A 67-year-old man has had progressive dyspnea for the past 2…

A 67-year-old man has had progressive dyspnea for the past 2 years with cough productive of small amounts of white sputum on most days of the week. The cough and shortness of breath sometimes awaken him from sleep. His past medical history is significant for hypertension and glaucoma. He has a 40 pack-year history of smoking and drinks 1-2 beers on weekends. Physical examination reveals prolonged expiration, wheezes and rhonchi over both lung fields. No peripheral edema is noted. Chest radiograph shows hyperinflation. Which of the following is the most likely diagnosis?