A 76-year-old man with a past medical history of hyperlipide…

A 76-year-old man with a past medical history of hyperlipidemia and diabetes mellitus presents to the emergency room with a 2-hour history of acute, severe, “crushing” left precordial chest pain; it is associated with nausea, vomiting, diaphoresis, and altered mental status. Physical exam is notable for an ashen and cyanotic appearance, hypotension, rapid and weak peripheral pulsations, distant heart sounds, elevated jugular venous distension, and pulmonary crackles. A stat bedside chest x-ray reveals pulmonary vascular congestion and Kerley B lines. What assertion can be made from the diagnostic workup of this patient?

A 20-year-old man presents with a sudden onset of vomiting,…

A 20-year-old man presents with a sudden onset of vomiting, headache, vision changes, numbness and tingling of extremities, difficulty speaking, difficulty writing, loss of coordination, and loss of balance. His past medical history is significant for sickle cell anemia. Physical exam findings are consistent with acute cerebrovascular insufficiency. Early detection and prevention of stroke in sickle cell anemia is now possible by using screening tests. What imaging modality is recommended as a screening test for cerebrovascular disease/stroke in sickle cell disease (SCD) patients?

A 3-year-old boy is brought to your outpatient clinic. His p…

A 3-year-old boy is brought to your outpatient clinic. His parents are worried about the delayed language development and the child always appears to be “in his own little world.” You are told that his previous doctor had diagnosed the child with autism spectrum disorder and the parents are here for a second opinion. When observing the child, the presence of which of the following clinical findings most closely correlates with autism spectrum disorder?