Given some infomation about patient. 58-year-old woman with hypertension and obesity presents with exercise-related episodic chest pain radiating to the back.What is the patient's diagnosis?


Given some infomation about patient. 58-year-old female non-smoker with left lung mass on x-ray. Head CT shows a solitary right frontal lobe mass.What is the patient's diagnosis?


Given some infomation about patient.2-year-old boy with fever and irritability for 5 days. Physical exam findings include conjunctivitis, strawberry tongue, and desquamation of the fingers and toes. Lab results include low albumin, elevated white blood cell count and C-reactive protein, and urine leukocytes. Echo shows moderate dilation of the coronary arteries.What is the patient's diagnosis?


Given some infomation about patient.56-year-old woman presents with shortness of breath 3 weeks after surgical mastectomy. Physical exam is significant for right calf tenderness and decreased breath sounds at the right base. Her D-dimer level is elevated.What is the patient's diagnosis?


Given some infomation about patient.64-year-old woman with uncontrolled diabetes, now with an oozing, painful skin lesion on her left lower leg.What is the patient's diagnosis?


Given some infomation about patient.62-year-old man with progressive memory loss and involuntary leg movements. Brain MRI reveals cortical atrophy, and cortical biopsy shows vacuolar gray matter changes with reactive astrocytosis.What is the patient's diagnosis?


Given some infomation about patient.43-year-old woman with soft, flesh-colored, pedunculated lesions on her neck.What is the patient's diagnosis?


Given some infomation about patient.67-year-old woman status post cardiac catheterization via right femoral artery, now with a cool, pulseless right foot and right femoral bruit.What is the patient's diagnosis?


Given some infomation about patient.40-year-old woman with severe right arm pain and hypotension. She has no history of trauma and right arm exam reveals no significant findings.What tests should the patient receive?


Given some infomation about patient.30-year-old woman who is 3 weeks post-partum, presents with shortness of breath, tachypnea, and hypoxia.What tests should the patient receive?


Given some infomation about patient.85-year-old man who was in a car accident 3 weeks ago, now with 3 days of progressively decreasing level of consciousness and impaired ability to perform activities of daily living.What tests should the patient receive?


Given some infomation about patient.36-year-old woman with amenorrhea, abdominal tenderness, enlarged uterus, and cervical dilation. Urine pregnancy test is negative. Ultrasound reveals an enlarged uterus with multiple cystic areas, which could be consistent with vesicular mole and fibroid degeneration.What tests should the patient receive?


Given some infomation about patient.28-year-old female with neck pain and left arm numbness 3 weeks after working with stray animals. Physical exam initially remarkable for slight left arm tremor and spasticity. Three days later she presented with significant arm spasticity, diaphoresis, agitation, difficulty swallowing, and hydrophobia.What tests should the patient receive?


Given some infomation about patient.48-year-old man with common variable immunodeficiency presents with abdominal pain and fever. Ultrasound reveals hepatomegaly and free intraperitoneal fluid. A ruptured liver abscess is found and drained during exploratory laparotomy.What tests should the patient receive?


Given some infomation about patient.6-month-old male with decreased urine output and edema several hours after surgery. He is hypertensive and tachycardic, has a high BUN and creatinine, and urine microscopy reveals red blood cells and granular casts.What tests should the patient receive?


Given some infomation about patient.52-year-old man with history of smoking and heavy drinking, now with progressive dysphagia and 25-pound weight loss.What tests should the patient receive?


Given some infomation about patient.15-year-old girl with right lower quadrant abdominal pain, decreased appetite, and enlarged appendix on abdominal ultrasound.How should the patient be treated?


Given some infomation about patient.63-year-old heavy smoker with productive cough, shortness of breath, tachypnea, and oxygen requirement. Chest x-ray shows hyperinflation with no consolidation.How should the patient be treated?


Given some infomation about patient. 33-year-old male presents with severe abdominal pain one week after a bike accident in which he sustained abdominal trauma. He is hypotensive and tachycardic, and imaging reveals a ruptured spleen and intraperitoneal hemorrhage.How should the patient be treated?


Given some infomation about patient.8-year-old boy with decreased level of consciousness 30 minutes after falling from his bike and hitting his head. He was not wearing a helmet. In the ER he was bradycardic and hypertensive, and the neurosurgeon strongly advised immediate treatment.How should the patient be treated?


Given some infomation about patient.Group traveling to the Amazon rainforest, including 3 pregnant women. All members' immunizations are up-to-date but they require malaria prophylaxis.How should the patient be treated?


Given some infomation about patient.31-year-old female with amenorrhea, milky nipple discharge, negative urine pregnancy test, and elevated prolactin level.How should the patient be treated?


Given some infomation about patient.A 44-year-old man with coffee-ground emesis, tachycardia, hypoxia, hypotension and cool, clammy extremities.What is the patient's diagnosis?


Given some infomation about patient.A 62-year-old immunosuppressed male with fever, cough and intranuclear inclusion bodies in bronchoalveolar lavageWhat is the patient's diagnosis?


Given some infomation about patient.Young adult woman with 2 weeks of fever and migrating joint inflammation.What is the patient's diagnosis?


Given some infomation about patient.A 46-year-old woman with sweaty hands, exophthalmia, and weight loss despite increased eating.What is the patient's diagnosis?


Given some infomation about patient.A 22 year old female presents with changes in appetite and sleeping, fatigue, diminished ability to think or concentrate, anhedonia and feelings of guilt.What is the patient's diagnosis?


Given some infomation about patient.A 10 year old child with recent history of pork consumption presents with fever, myalgia, facial edema and eosinophiliaWhat is the patient's diagnosis?


Given some infomation about patient.A 38 year old woman with severe dysmenorrhea, menorrhagia, and menometrorrhagia. PMH of infertility treatment and ectopic pregnancyWhat is the patient's diagnosis?


Given some infomation about patient.A 44-year-old man complains of severe headache and fever. Nuchal rigidity was found on physical examination.What tests should the patient receive?


Given some infomation about patient.A 5-year-old boy presents with difficulty in breathing, stridor, drooling, fever, dysphagia and voice change.What tests should the patient receive?


Given some infomation about patient.A young woman in her second gestation presenting with anemia resistant to improvement by iron supplementation, elevated LDH, anisocytosis, poikilocytosis, hemosiderinuria and normal clotting screen.What tests should the patient receive?


Given some infomation about patient.A 66-year-old female smoker presents with worsening dyspnea, productive chronic cough, moderate respiratory distress and unintentional weight loss.What tests should the patient receive?


Given some infomation about patient.An 89-year-old man with progressive change in personality, poor memory, and myoclonic jerks.What tests should the patient receive?


Given some infomation about patient.A 32-year-old male presents with diarrhea and foul-smelling stools. Stool smear reveals protozoan parasites.How should the patient be treated?


Given some infomation about patient.An 18-year-old male returned from Asia a week ago. He presents with high fever, severe headache and joint pain. His blood analysis reveals leukopenia, increased hematocrit and thrombocytopenia.How should the patient be treated?


Given some infomation about patient.A 31 year old male presents with productive cough, chest pain, fever and chills. On exam he has audible wheezing with decreased breath sounds and dullness to percussion.How should the patient be treated?


Given some infomation about patient.10-year-old boy with progressive right knee and left leg pain and edema, lethargy and an osteolytic lesion. No history of trauma, fever, tachycardia, or urinary incontinence.How should the patient be treated?


Given some infomation about patient.An obese 28 yo female with non-ruptured ectopic pregnancy and history of adhesions.How should the patient be treated?


Given some infomation about patient.A 15 yo girl with fatigue, pale skin, low hemoglobin and ferritin.How should the patient be treated?


Given some infomation about patient.An 8-year-old boy presents with a swollen right knee, lower extremity pain and fever. The parents report no history of trauma. The parents noticed a tick bite several months earlier.How should the patient be treated?


Given some infomation about patient.A 4-year-old girl with persistent high fever, skin rash, strawberry tongue, swollen red hands, and bilateral nonexudative conjunctivitis.How should the patient be treated?


Given some infomation about patient.A 47 year old male who fell on his outstretched left arm presents with pain, swelling, and inability to bend the arm. The x-ray, shows posterior elbow dislocation.How should the patient be treated?