Articles related to QUIZZES & QUESTIONS

A 68-year-old Caucasian man complained of blurry vision while reading and visited the eye clinic for a thorough eye examination. His best-corrected baseline visual acuity with +1.00/+2.25 glasses was 20/20 OD and 20/25 OS at distance and close-up. External testing revealed normal confrontation fields and no afferent pupillary impairment, which were ordinary. A +2.75D enhancement enhanced near vision. The anterior segment evaluation resulted in a normal reading of 15 mm Hg OD and 14 mm Hg OS on the Goldmann applanation tonometer. What could it be?

A 63-year-old man is seen in the ER for new onset confusion. He has been taking codeine-guaifenesin as directed for a URI. Respirations are shallow and the rate is 10/min. Pupils are miotic and the patient is somnolent. Exam and vitals are otherwise normal. The confusion resolves with administration of naloxone. Why did this patient most likely have the drug reaction?

After 5 years of denosumab therapy, this patient has had no fractures and bone density scores have improved. You plan to discontinue denosumab. What else should be done?

Are the findings a result of bacterial endocarditis? Resurgent sarcoidosis? An opportunistic fungal pulmonary invasion? Review the workup and cast your vote on what you think the diagnosis is.

A 5-year-old boy from China who had IgA vasculitis at age 2 presented with progressively painful skin ulcerations on his extremities for the past month. Find the reason behind the skin lesions on this young boy by answering the image challenge.

A 75-y-o man is found to have an INR of 8.5 on routine monitoring. There is no evidence of bleeding, and he is otherwise well. He is instructed to stop warfarin. His hemoglobin comes back normal. What is the best next step in managing him: intervention or observation?