Bonus Question: A 70-year-old man with a history of hyperlip…

Bonus Question: A 70-year-old man with a history of hyperlipidemia, hypothyroidism, osteoarthritis, hypertension presents for a routine evaluation. He denies any problems today and otherwise has no significant past medical history. His physical examination is remarkable for pulse rate of 44 beats per minute and blood pressure of 150/94 mm Hg.  An EKG assessment reveals sinus bradycardia and Mobitz Type II second-degree AV block.What antihypertensive agent should be avoided in the management of this patient?

During your Internal Medicine rotation, you are asked to eva…

During your Internal Medicine rotation, you are asked to evaluate a 48-year-old male patient who presents complaining of fever and malaise for the past 10 days.  On examination you note palatal petechiae, subungual splinter hemorrhages, painless erythematous papules on the palms of the hands and soles of the feet bilaterally, and a grade III/VI holosystolic murmur heard best at the apex.  Based on this information, which of the following conditions is the most likely diagnosis for this patient?