mksap

MKSAP: 45-year-old man with fever and abdominal pain

0 comments mksap | May 18, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 45-year-old man is admitted to the hospital for a 2-day history of fever and abdominal pain. His medical history is notable for cirrhosis due to chronic hepatitis C, esophageal varices, ascites, and minimal hepatic encephalopathy. His medications are furosemide, spironolactone, nadolol, lactulose, zinc, vitamin A, and vitamin D. On physical examination, temperature is 36.5 ...

Read more...

MKSAP: 27-year-old pregnant woman with hypothyroidism

0 comments mksap | May 11, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 27-year-old woman is evaluated during the fourth week of an uneventful pregnancy. She has a 3-year history of primary hypothyroidism due to Hashimoto thyroiditis that is treated with levothyroxine, 125 µg/d. She also takes prenatal vitamins and iron sulfate. On physical examination, temperature is 37.1 °C (98.8 °F), blood pressure is 128/80 mm Hg, ...

Read more...

MKSAP: 52-year-old man with gradually progressive left knee pain

3 comments mksap | May 4, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old man is evaluated for a 5-year history of gradually progressive left knee pain. He has 20 minutes of morning stiffness, which returns after prolonged inactivity. He has minimal to no pain at rest. He reports no clicking or locking of the knee. Over the past several months, the pain has limited his ...

Read more...

MKSAP: 35-year-old woman with an acute exacerbation of asthma

1 comment mksap | April 27, 2013

A 35-year-old woman is evaluated in an urgent care center for an acute exacerbation of asthma. She has a history of frequent asthma exacerbations requiring unscheduled visits; however, between these exacerbations, her examination and pulmonary function studies have been unremarkable. Her current medications are inhaled budesonide and inhaled albuterol. On physical examination, she is in moderate distress with audible inspiratory and expiratory wheezing. Temperature is 37.0 °C (98.6 °F), pulse rate ...

Read more...

MKSAP: 19-year-old woman with bilateral leg weakness

2 comments mksap | April 13, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 19-year-old woman is admitted to the hospital because of a 2-week history of bilateral leg weakness and numbness accompanied by urinary incontinence that began after a viral gastrointestinal illness of 3 days' duration. She has no personal or family medical history of note and takes no medication. On physical examination, temperature is 36.7 °C ...

Read more...

MKSAP: 51-year-old man with acute myeloid leukemia

0 comments mksap | March 31, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 51-year-old man is being followed in the hospital after receiving chemotherapy for acute myeloid leukemia 1 day ago. Kidney function was normal at the start of his treatment, which consisted of normal saline at a rate of 200 mL/h and rasburicase on the day of chemotherapy. He reports no symptoms except for some ...

Read more...

MKSAP: 64-year-old woman with fever and chills

0 comments mksap | March 24, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old woman is hospitalized for a 2-day history of fever and chills and a 1-day history of hypotension and dyspnea. Medical history is significant for adenocarcinoma of the colon diagnosed 3 weeks ago for which she had a partial colectomy. Her course was complicated by the development of a polymicrobial intra-abdominal abscess. After ...

Read more...

MKSAP: 65-year-old man with daytime somnolence

0 comments mksap | March 16, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 65-year-old man is evaluated for a 2-year history of daytime somnolence, snoring, and apneic episodes during the night as witnessed by his wife. He does not have blurred vision, tinnitus, or headache. He has no cardiopulmonary symptoms and does not smoke cigarettes. The patient has hypertension for which he takes lisinopril and atenolol. On ...

Read more...

MKSAP: 54-year-old woman is evaluated during a routine examination

2 comments mksap | March 9, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old woman is evaluated during a routine examination. She is very concerned by her lack of interest in sexual intercourse. The patient feels like she "just doesn't want to be touched." She used to enjoy intercourse and does not know why she feels this way now, but she acknowledges that it is causing ...

Read more...

MKSAP: 67-year-old woman with severe muscle weakness

0 comments mksap | February 24, 2013

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 67-year-old woman is evaluated for a 2-day history of severe muscle weakness. The patient experienced significant weight gain and developed hypertension and type 2 diabetes mellitus 2 years ago. She also reports developing muscle weakness of the lower extremities 6 months ago. Her diabetes is only partially controlled by metformin; her blood glucose ...

Read more...

Trending

Past Week

Past 6 Months

Recent Posts

Subscribe

Social

The Book

From MedPage Today

Medical News

Medical Meeting Coverage

CME Spotlights

MedPage Today Professional