A 44-year-old man presents with headaches, enlarged hands and feet, and spacing of his teeth. Labs: IGF-1 elevated, glucose tolerance test fails to suppress GH. Which process explains his condition?
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A 68-year-old man presents with progressive dyspnea and pink…
A 68-year-old man presents with progressive dyspnea and pink sputum. Exam shows pulmonary crackles. Which process explains his illness?
A 32-year-old Asianman presents to ED after collapsing durin…
A 32-year-old Asianman presents to ED after collapsing during exercise. He is resuscitated. Imaging shows hypertrophied interventricular septum. Which process explains his collapse?
A 74-year-old woman presents after a fall with hip pain. Ima…
A 74-year-old woman presents after a fall with hip pain. Imaging shows a femoral neck fracture. DXA scan reveals T-score –2.9 (normal ≥ –1.0). Which pathophysiologic process explains her fracture risk?
A 57-year-old man presents with polyuria, polydipsia, and bl…
A 57-year-old man presents with polyuria, polydipsia, and blurred vision. HbA1c is 9.8% (normal
A 42-year-old Jewish woman with lupus presents with erythema…
A 42-year-old Jewish woman with lupus presents with erythematous malar rash. Which process explains her dermatologic finding?
A 60-year-old woman from Mexico presents with thickened scal…
A 60-year-old woman from Mexico presents with thickened scaling plaques on her elbows and nail pitting. Which process explains her illness?
A 36-year-old woman presents with rash after hiking. Exam: l…
A 36-year-old woman presents with rash after hiking. Exam: linear vesicles along forearm. Which process explains her rash?
A 45-year-old woman presents with hypertension, easy bruisin…
A 45-year-old woman presents with hypertension, easy bruising, and weight gain. She notes mood swings but denies psychiatric history. Exam reveals truncal obesity and purple striae. 24-hour urinary cortisol is elevated. Which process explains her disease?
A 61-year-old man presents to clinic with irregularly irregu…
A 61-year-old man presents to clinic with irregularly irregular pulse and fatigue. Which process explains his arrhythmia?