A 23-year-old male patient is brought into the emergency dep…

A 23-year-old male patient is brought into the emergency department for bizarre behavior. He appears intoxicated, he is combative and yelling and will not answer questions. The paramedics report he was acting erratically outside the local bar. His vital signs are BP 180/100 mm/Hg, HR 110 and reg, RR 18, oxygen saturation is 99% on room air. He is diaphoretic, pupils are 5mm and reactive to light bilaterally, he is agitated and repeatedly states they are out to get him. What will help combat his agitated state?

A 48-year-old female presents to the office complaining of e…

A 48-year-old female presents to the office complaining of easy bruising. She was recently in the ICU with severe diarrhea due to a flare of her ulcerative colitis, during which she lost 15 pounds, had difficulty eating, and was on total parenteral nutrition. Which of the following vitamin deficiencies is likely the cause of this patient’s bruising?

A 15-year-old girl is being evaluated for a heart murmur. Sh…

A 15-year-old girl is being evaluated for a heart murmur. She is asymptomatic. On physical examination, her blood pressure is 174/104 mm Hg on her right arm. Her pulses are 2+ on her upper extremities. The femoral pulses are slightly lower in amplitude than the radial pulses. Her cardiac examination reveals a short midsystolic murmur in the left infrascapular area. For this patient, which of the following is most likely to be found on additional studies?

A 24-year-old man is referred to your practice for elevated…

A 24-year-old man is referred to your practice for elevated cholesterol level. The patient has a father and two siblings with high cholesterol levels on medications. His 31-year-old brother recently had a myocardial infarction. On physical examination, the patient has bilateral arcus senilis. His extremities are remarkable for diffuse and nodular thickenings of the Achilles tendon. What is the most likely diagnosis?