A 40 year old patient presents to her primary care physician…

A 40 year old patient presents to her primary care physician with a complaint of tremors and her heart racing.  On physical exam, the physician notes exophthalmos.  He then orders basic thyroid studies which demonstrate a decreased TSH.  What is the most likely diagnosis?

A 63 year old female presents to her primary care physician…

A 63 year old female presents to her primary care physician for an annual physical.  Her only complaint is occasional backpain and fatigue.  A musculoskeletal exam demonstrates weakness with plantarflexion on the right.  Assuming the weakness is a result of a disc herniation, which spinal nerve may be compressed?

A 42 year old male is shot with a nail gun during a construc…

A 42 year old male is shot with a nail gun during a construction accident.  The nail penetrates the left posterior triangle of the neck.  Exam demonstrates weakness in shrugging his left shoulder and turning his head to the right.  Which of the following nerves was most likely damaged?

The liver produces the most common protein found in plasma:…

The liver produces the most common protein found in plasma: albumin.  Albumin is a large protein that does not cross the vessel wall, but rather stays in the blood.  When a person is in liver failure, albumin production decreases dramatically in the blood.  Based on what you know about concentration gradients, in which direction will water flow during liver failure?