A 32-year-old woman presents with joint stiffness and pain o…

A 32-year-old woman presents with joint stiffness and pain of the hands and wrists for the last two years. Her symptoms are most severe in the morning and improve in the afternoon. She reports an unintentional loss of 15 pounds over the course of 3 months as well as fatigue. On physical exam, there is swelling and tenderness at the metacarpophalangeal and proximal interphalangeal joints. What is the most probable cause of her condtion?  

A 25-year-old man presents to the emergency department with…

A 25-year-old man presents to the emergency department with altered mental status. He was found down in the middle of the street. His past medical history is unknown. His temperature is 99.0°F (37.2°C), blood pressure is 104/64 mmHg, pulse is 70/min, respirations are 4/min, and oxygen saturation is 91% on room air. The patient is being resuscitated. His eye exam is shown below. Which of the following was most likely to be found on lab reports ?

Maggie is a 52-year-old Caucasian woman who complains of pai…

Maggie is a 52-year-old Caucasian woman who complains of painful, stiff hands and feet, feeling tired all the time, and reports an intermittent low-grade fever.  Her hand X-ray is shown below. She asks the nurse if she is going to be “crippled.” What is TRUE statement about her condition?