A patient in the Medical Intensive Care Unit (MICU) is diagn…

A patient in the Medical Intensive Care Unit (MICU) is diagnosed with sepsis and severe hypoxemia. After 17 days in the MICU, his condition has not improved, and a repeat chest X-ray shows significant changes in lung architecture with worsening gas exchange. Which of the following pathophysiological changes is most likely contributing to his ongoing hypoxemia at this stage?

A 55-year-old male patient with a history of mitral valve pr…

A 55-year-old male patient with a history of mitral valve prolapse presents with fever, fatigue, and joint pain. You notice tender, raised reddish-purple lesions on the pads of his fingers and toes. Which of the following conditions is most likely associated with these lesions?

A 38-year-old woman presents to the emergency department wit…

A 38-year-old woman presents to the emergency department with diffuse, cramping abdominal pain that started a few hours ago. She also reports nausea and feels her pain is deep and difficult to pinpoint. The pain intermittently worsens and is associated with a slow heart rate and sweating. Based on this presentation, which type of pain is the patient most likely experiencing?

A 52-year-old male with a 40-pack-year smoking history prese…

A 52-year-old male with a 40-pack-year smoking history presents to the clinic with a chronic cough, unexplained weight loss, and recent onset of digital clubbing. His oxygen saturation is 88% on room air. A chest X-ray reveals a suspicious mass in the right upper lobe. Which of the following is the most likely underlying condition causing the patient’s clubbing?