4 yo boy brought to see you because of jaundice of eye and intermittent pallor with normal wbc and platelet. only anemia is present with hb 8.0 respiratory viral infection patient marked pallor and splenomegaly.
63 yo lady sustained blackouts, 15-30s duration, spontaneous recovery, no meds. Normal vitals, ECG. K+ 3.3mmol/L. Bradycardia, asystole, self-reverts. Priority?
55 lady w/ persistent SOB, difficulty in climbing stairs/household chores, fatigue w/o CP, cough, syncope, or LE swelling. Med hx of CTS, hypothyroidism on levothyroxine. Additional physical findings?
32 yr-old woman abdominal pain, nausea & bleeding from the cervix. Dx bicornuate uterus 2 yrs ago. UPT +ve. USG reveals a gestational sac at the upper left uterine cornu & free fluid in the posterior pelvis. Next step?
vaccines are given according to corrected gestational age 19-yr-old woman complains of continuous clear, slightly malodorous vaginal discharge. Vagina pH of 6. She is 6 wks postpartum from a vaginal delivery of a stillborn baby. Exam shows a small, red
Super difficult question. – A middle age woman with 3 episodes of palpitation over the past few months. Apical impulse displaced to left with 3rd heart sound heard at apex in left lateral position. Holosystic murmur heard loudest at apex
A 37yr old woman with persistent nausea & vomiting. Has well- controlled chronic hypertension & hypothyroidism. Dry mucous membranes & CRT is delayed. Thyroid diffusely enlarged. Urinalysis positive for ketones. US reveals 8-wk intrauterine twin gestation. Risk factor for current
68yo woman, slurring speech. history of hypertension, type 2 diabetesmellitus, and bipolar disorder. Medications include amlodipine, metformin, and lithium. Frequent bradycardia and sinus pauses. Next step?
48 Para3 with stage I hormone receptor-positive lobular breast carcinoma is prescribed with tamoxifen. Has hypertension & hyperlipidemia. Risk of long term tamoxifen therapy?
