Your patient comes to the clinic with acute onset of abdomin…

Your patient comes to the clinic with acute onset of abdominal pain. Your history questions lead to a primary differential diagnosis of appendicitis. What test are you performing when you ask the patient, who is lying on the exam table, to lift their right leg straight up while you apply counter pressure?

A 46 y/o G1P1 presents with pain in both breasts. Upon exam,…

A 46 y/o G1P1 presents with pain in both breasts. Upon exam, your assessment is probable fibrocystic breast changes.  There is no dominate breast mass.  History includes 2 sisters and mother with fibrocystic breast changes.  Her social history is positive for 2-3 cups of coffee per day, denies alcohol use, denies drug use, and is a social smoker for the past 5 years.  What is her most significant risk factor for breast cancer?

A 30 year old female presents with a complaint of nipple dis…

A 30 year old female presents with a complaint of nipple discharge.  Her LMP was 2 months ago, and she says it is typical for her to skip periods for 2 to 3 months at a time in the past year. Her pregnancy test today is negative. Her TSH is normal, and her prolactin level is slightly elevated at 35.  You would expect which of the following clinical signs to be consistent with physiologic nipple discharge?

The “itch-scratch” cycle is a complex of itching leading to…

The “itch-scratch” cycle is a complex of itching leading to scratching producing excoriation of the vulva and then healing.  The healing skin itches, leading to further scratching.  This cycle becomes chronic resulting in lichenification of the skin and is known as: