Thoracic Key

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…

FEVER   76A A 28-year-old woman presents to her primary care clinician because of intermittent fevers for the past 3 days, reaching 39°C. She reports a sore throat, myalgias, and stomach upset….

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…

OBESITY   74A A 53-year-old woman came to the clinic to get help managing her weight. She has been overweight since childhood and has continued to gain weight throughout her adult life….

HYPERTENSION   19A A 56-year-old black man presents to the clinic for a routine physical examination. On arrival, he is noted to have a blood pressure of 160/90 mm Hg, which you…