A 81-year-old retired businessman presents to the office for…

A 81-year-old retired businessman presents to the office for his annual exam. He is sitting quietly on the exam table. You direct the patient to lean forward, exhale completely, and briefly hold his breath after exhalation. At the end of expiration, you auscultate a soft, high-pitched, early diastolic decrescendo murmur heard best at Erb’s point. You identify this murmur as:

A 35-year-old recent immigrant is being seen in the clinic f…

A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2 months. The nurse practitioner’s preliminary analysis, based on this history, is that this patient may be suffering from:

Brady is complaining of a thick productive cough for five da…

Brady is complaining of a thick productive cough for five days.  He states that it has changed color recently and is now a greenish yellow. After examining Brady you discover that he has diminished breath sounds over his posterior left lower lobe region.  Although not part of the evidenced-based outpatient protocol, you order a sputum culture to determine if the possible consolidation is bacterial in origin. Which of the following is true concerning cultures?

A 75-year-old patient complains of pain and parasthesias in…

A 75-year-old patient complains of pain and parasthesias in the right foot that worsens with exercise and is relieved by rest. On physical examination of the right foot, you note pallor, capillary refill of 4 seconds, and +1 dorsalis pedis pulse. In the left foot, you note a +2 pulse. Which of the following is a likely cause of the signs and symptoms?