A patient with a history of rheumatoid arthritis managed wit…

A patient with a history of rheumatoid arthritis managed with home prednisone presents to an urgent care clinic with a fractured right radius secondary to ground-level fall. The patient reports right arm pain and recent fatigue, but no other symptoms. Vital signs include heart rate 66, blood pressure 162/94, oxygen saturation 99% on room air. Labs are notable for blood glucose 240. Physical exam findings include centralized obesity and buffalo hump. What differential diagnosis is most likely causing centralized obesity and presence of a buffalo hump?

You are called to the bedside of a patient who recently unde…

You are called to the bedside of a patient who recently underwent surgery to remove a functioning adrenal tumor. The patient is in shock with weakness, confusion, and abdominal pain. You suspect the patient is in an acute adrenal crisis. What is the recommended treatment for this condition?

A 55 year-old-man presented with a subarachnoid hemorrhage a…

A 55 year-old-man presented with a subarachnoid hemorrhage and underwent endovascular coiling of his aneurysm. Seven days later, he develops a new right facial droop and confusion. Which of the following is the most likely explanation for this neurological change?

A 25-year-old patient presents to the clinic with fatigue, c…

A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which test should be ordered next?