A 60-year-old male presents with fatigue and a new murmur. He reports recent dental work. Blood cultures are positive for Streptococcus viridans. What is the most likely diagnosis?
A 70-year-old man with a history of stroke presents with wea…
A 70-year-old man with a history of stroke presents with weakness on the right side and expressive aphasia. Where is the likely lesion?
A scuba diver presents with joint pain and dizziness after a…
A scuba diver presents with joint pain and dizziness after a rapid ascent. What is the likely cause of this condition?
A 12-year-old girl presents with involuntary repetitive hand…
A 12-year-old girl presents with involuntary repetitive handwashing and constant fear of contamination. She is aware the behavior is excessive. What is the most likely diagnosis?
A 55-year-old male presents with hemoptysis, weight loss, an…
A 55-year-old male presents with hemoptysis, weight loss, and a mass in the lung apex. What syndrome is most commonly associated with a lung tumor in this location?
A 66-year-old male presents with melena and fatigue. His hem…
A 66-year-old male presents with melena and fatigue. His hemoglobin is 8.2 g/dL. Endoscopy reveals a bleeding gastric ulcer. What lab value would you expect to be decreased?
A 48-year-old man presents with jaundice, elevated liver enz…
A 48-year-old man presents with jaundice, elevated liver enzymes, and a history of intravenous drug use. Which viral hepatitis is most likely responsible for his chronic liver disease?
A 19-year-old female with asthma presents with worsening whe…
A 19-year-old female with asthma presents with worsening wheezing and shortness of breath. What long-term physiologic change contributes to persistent symptoms if uncontrolled?
A 25-year-old male has polyuria, polydipsia, and dehydration…
A 25-year-old male has polyuria, polydipsia, and dehydration. Serum sodium is high, and urine osmolality is low. What is the most likely diagnosis?
A 44-year-old woman with hypertension is noted to have left…
A 44-year-old woman with hypertension is noted to have left ventricular hypertrophy on echocardiogram. What is the most likely pathophysiologic mechanism?