During the physical exam, of a 35 year old obese male with t…

During the physical exam, of a 35 year old obese male with type 2 diabetes you notice that the patient has raised, sharply demarcated yellow patches on the inner canthi of both eyes and on the upper and lower eyelids that are symmetrical and nontender. Based on this exam finding you know the patient is predisposed to a certain systemic condition and order what test to evaluate?

Your next patient is a 41 year old female with a history of…

Your next patient is a 41 year old female with a history of hypothyroidism, stable on levothyroxine. She smokes 1/2 PPD (pre-contemplative stage of smoking cessation and not interested in quitting at this time), has an occasional alcoholic beverage and denies drug use. Family history is significant for mother with IBS, father with hypothyroidism. No personal or family history of bleeding or clotting disorder, no personal history of VTE. She recently has become sexually active with a new partner and does not desire pregnancy at this time. G1/P1. Menses are regular, q 28 days, lasting 5-7 days with no complaints. She asks about starting birth control. You correctly advise her that: 

A 6 year old presents with a high fever and rash that is dee…

A 6 year old presents with a high fever and rash that is deep red, maculopapular and has desquamation to the perineal area. You know this presentation is characteristic of a condition that is a major cause of acquired heart disease in children in the US, what is the condition this patient has?