Titlebook: Surgery; A Case Based Clinica Christian de Virgilio,Areg Grigorian Textbook 2020Latest edition Springer Nature Switzerland AG 2020 USMLE.bo

残暴

Hemoptysis, Cough, and Weight Lossick contacts. However, he notes a 20-pound weight loss in the last 3 months and feeling more fatigued. He has a 40-pack-year smoking history. He previously worked as a welder in a shipyard for 30 years before retiring 5 years ago. His past medical history only includes hypertension. Breath sounds ar

种族被根除

凹处

Fatigue, Constipation, and Depressed Moodpine. Further testing reveals a serum calcium level of 11 mg/dL (normal 8.5–10.5 mg/dL), phosphate level of 1.7 mg/dL (2.5–4.8 mg/dL), intact parathyroid hormone level of 83 pg/mL (15–75 pg/mL), and elevated urinary calcium levels. She denies any previous fractures. She reports fatigue and has more

左右连贯

Abnormal Screening Mammogramoutine health maintenance screening, which she agrees to do. A week later, she gets a call from her doctor to inform her that the mammogram is abnormal (BI-RADS 4). Her left breast was found to have multiple clusters of fine linear microcalcifications, with the largest cluster measuring 2 mm in diameter.

CHAR

不确定

开头

Right Leg Pain, Swelling, and Erythema for Two Days are significant for a BUN of 40 mg/dL (normal 7–20 mg/dL), serum glucose of 200 mg/dL (70–100 mg/dL), creatinine of 1.6 mg/dL (0.8–1.4 mg/dL), white blood cell (WBC) count of 24 × 10./μL (4.1–10.9 × 10./μL), hemoglobin of 9.5 g/dL (13.8–17.2 g/dL), and a serum sodium of 128 mEq/L (136–144 mEq/L).

难解

Chest Pain, Diaphoresis, and Nauseain, and a respiration rate of 28/min. Breath sounds are equal without crackles. Cardiac examination reveals a regular rate without murmurs and an S4. An ECG was obtained which shows sinus rhythm with ST segment elevation in V2, V3, and V4. A stat troponin is ordered and returns above normal range. Chest X-ray is normal.

Painstaking

dragon

Fatigue, Constipation, and Depressed Moodhoolteacher who is physically active and enjoys traveling. On review of systems, the patient reports constipation and occasional depressed mood. Physical examination demonstrates a healthy adult female; her neck is supple without masses or adenopathy.