HEALTH CARE–ASSOCIATED INFECTIONS 78A A 71-year-old man is admitted to the intensive care unit for pneumonia, sepsis, and acute respiratory distress syndrome. He is treated with intravenous (IV) ceftriaxone. An initial…
CUSHING SYNDROME 66A A 35-year-old woman has hypertension of recent onset. Review of systems reveals several months of weight gain and menstrual irregularity. On examination, she is obese, with a plethoric…
SMOKING CESSATION 63A A 33-year-old man visits his primary care clinician for advice about how to quit cigarette smoking. He started smoking a half pack daily at age 16 years but…
GLOMERULONEPHRITIS 47A A 61-year-old woman presents to the emergency department with 3 days of shortness of breath and lower extremity swelling. She has been previously healthy with no history of heart…
HYPERALDOSTERONISM 69A A 42-year-old man presents for evaluation of newly diagnosed hypertension. He is currently taking no medications and offers no complaints. A careful review of systems reveals symptoms of fatigue;…
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 5A A 72-year-old man with chronic obstructive pulmonary disease (COPD) presents to the emergency department with progressively worsening shortness of breath. Using 2 L/min of oxygen at…
HYPOKALEMIA 48A A 45-year-old woman presents to the emergency department after 5 days of nausea, vomiting, and diarrhea. She states that she has only been able to drink water occasionally, and…
NEPHROTIC SYNDROME 54A A 40-year-old woman with Hodgkin lymphoma is admitted to the hospital because of anasarca. She has no known history of renal, liver, or cardiac disease. Her serum creatinine…
