Irregular periods Low sex drive and problems having an erection Your skin could become thin, heal slowly, and bruise easily. You might get purple or pink stretch marks all over your body, especially your belly, thighs, arms, and chest. Your bones may get weak. Everyday movements like bending, lifting, or even getting out of a chair can cause backaches or breaks in your ribs or spine.
A patient has dull, almost inaudible breath sounds, and decreased tactile fremitus in the right hemithorax. Which of the following would frequently cause these findings? Atelectesis of the right lower lobe B. Right tension pneumothorax C. Pneumonia I n the right posterior basilar segment D.
Right pleural effusion E. Pulmonary emphysema Answer Explained Based on the limited number of studies, dullness to percussion and tactile fremitus are the most useful findings for pleural effusion.
When the pretest probability of pleural effusion is low, the absence of reduced tactile vocal fremitus makes pleural effusion less likely so that a chest radiograph might not be necessary depending on the overall clinical situation. A 46 year old obese woman complains of RUQ pain and nausea with vomiting that started after eating a large fatty meal.
Which of the following is the most appropriate test to confirm the diagnosis? Complete blood count C. Flat and upright radiographs D.
Ultrasound Answer Explained Risk factors for the formation of cholesterol gallstones include the following: The most common symptom is pain in the right upper part of the abdomen.
The pain usually starts within 30 minutes after a fatty or greasy meal. The hepatojugular reflux can be used as a sign of A.
Chronic hepatitis with cirrhosis D. Am J Med Jul; 1: A 70 year old woman is evaluated for a 4-week history of aching bilateral pain and morning stiffness around the proximal muscles of her arms, shoulders and hips. She does not have a rash, neck pain, visual symptoms, cough, headache, or jaw stiffness or claudication.
Although her muscles are sore she does not have weakness.
On exam her exam is basically unremarkable. ROM is good throughout. Which of the following is the most appropriate management at this time? Corticosteroid injection into the glenohumeral joint D. Amitriptyline and aerobic exercise program E. Prednisone Answer Explained Polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness.
The pain and stiffness often occur in your shoulders, neck, upper arms and hips. Symptoms of polymyalgia rheumatica usually begin quickly, within two weeks.
Most people who develop polymyalgia rheumatica are older than It rarely affects people younger than Which of the following is the most common cause of tinnitus?Fatigue is a symptom of another disease or condition.
A person who has fatigue feels weak, is constantly tired, and lacks energy. There may be other associated symptoms related to the underlying cause of the chronic fatigue. Treatment of fatigue depends upon the cause.
Papillary thyroid cancer (also sometimes called papillary thyroid carcinoma) is the most common type of thyroid cancer. You may have even heard your doctor talk about metastatic papillary thyroid cancer ("metastatic" means that it has spread beyond your thyroid gland).
Cushing's syndrome is a collection of signs and symptoms due to prolonged exposure to cortisol. Signs and symptoms may include high blood pressure, abdominal obesity but with thin arms and legs, reddish stretch marks, a round red face, a fat lump between the shoulders, weak muscles, weak bones, acne, and fragile skin that heals poorly.
Women may have more hair and irregular menstruation. Hypertension is one of the most common worldwide diseases afflicting humans and is a major risk factor for stroke, myocardial infarction, vascular disease, and chronic kidney disease.
Cushing Syndrome is a hormonal disorder. The cause is long-term exposure to too much cortisol, a hormone that the adrenal gland makes. Sometimes, taking synthetic hormone medicine like corticosteroids to treat an inflammatory disease leads to Cushing's syndrome.
Cushing syndrome can also be due to endogenous causes; approximately 70% of Cushing syndrome is the result of Cushing disease. Cushing disease occurs when excess adrenocorticotropin hormone (ACTH) production from a benign pituitary tumor (adenoma) causes the adrenal glands to produce excessive amounts of cortisol.