A 52-year-old male patient presents to the emergency departm…

A 52-year-old male patient presents to the emergency department with a progressive weakness in his legs. He reports that the weakness started in his feet and has gradually spread upwards over the past few days. On examination, you find diminished deep tendon reflexes, bilateral lower limb weakness, and areflexia. Sensory examination is normal. Based on this clinical presentation, what is the most likely diagnosis?

In a patient presenting with tenderness and swelling in the…

In a patient presenting with tenderness and swelling in the small joints of both hands, along with several weeks of fatigue and malaise, and with a negative rheumatoid factor (RF) test result, what would be the subsequent course of action for the primary care provider?

In a young adult woman who has been attempting to conceive f…

In a young adult woman who has been attempting to conceive for more than 6 months without success, the patient reports a history of irregular periods since the onset of menarche. The provider observes that the woman is overweight, exhibits acanthosis nigricans, and has excessive hair distribution. What is the leading suspected primary cause of these symptoms according to the provider?

A 63-year-old female patient presents with severe facial pai…

A 63-year-old female patient presents with severe facial pain that is sudden in onset, electric shock-like, and brief in duration. The pain is located on the right side of her face, specifically in the distribution of the maxillary and mandibular divisions of the trigeminal nerve. The pain is triggered by routine activities such as eating, talking, or even light touch to the affected area. There are no associated sensory or motor deficits. Based on this clinical presentation, what is the most likely diagnosis?