A 75-year-old male has been brought to your ER following a s…

A 75-year-old male has been brought to your ER following a syncopal episode while moving furniture. He relates a history of similar episodes. EKG reveals left ventricular hypertrophy but is otherwise normal. Physical exam is remarkable for a systolic murmur which radiates to the carotid arteries. This suggests:

A 25-year-old female presents to the office after visiting t…

A 25-year-old female presents to the office after visiting the emergency room over the weekend. She recently had surgery for a broken ankle but developed a fever, felt like her heart was racing, and was very anxious. Upon presentation to the ER, she was found to have a TSH of 0.8 and was diagnosed with thyroid storm. She is unaware of any thyroid history but hasn’t felt “right” for the past year, reporting weight loss, fatigue, and tremors. She was treated for the storm and referred to you. Which of the following is she likely to have that has not yet been diagnosed?

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?