by sherlockofmedicine.com | Jul 28, 2024 | Free Cases, Surgery
19. James, a 17-year-old boy is brought to the emergency department after suffering from chest pain and dyspnea during a pickup basketball game. Physical examination reveals a systolic crescendo-decrescendo murmur, heard best at the second right intercostal space. The...
by sherlockofmedicine.com | Jul 28, 2024 | Free Cases, Surgery
17. Emily, a 38-year-old woman presents to her primary care physician for evaluation of intermittent vague right upper quadrant pain. She has a history of hypothyroidism and hypertension. Her current medications include synthetic thyroid hormone replacement and a...
by sherlockofmedicine.com | Jul 28, 2024 | Free Cases, Surgery
15. Mr. Tommy Clark, a 5-year-old boy is brought to the emergency department after ingesting liquid drain cleaner. The boy was left unattended while his baby-sitter was on the telephone. The boy is hoarse and has obvious stridor. What is the most appropriate initial...
by sherlockofmedicine.com | Jul 28, 2024 | Free Cases, Surgery
13. Mr. David White, a 41-year-old man has chronic gastroesophageal reflux. He is currently managed with an H2-blocker. Physical examination of the heart, lungs, and abdomen are within normal limits. Which of the following factors would be least protective of the...
by sherlockofmedicine.com | Jul 28, 2024 | Free Cases, Surgery
11. Ms. Rachel Taylor, a 41-year-old woman with Crohn’s disease has undergone multiple surgical procedures. She has recently undergone an ileostomy but still has evidence of some distal jejunal disease. Her current medications include prednisone and aminosalicylic...
by sherlockofmedicine.com | Jul 28, 2024 | Free Cases, Surgery
9. Mr. George Thomas, an 85-year-old man is brought to the emergency department because of acute abdominal pain and progressive abdominal distention. He is a resident of a local nursing home. He has not been eating because of progressive nausea. Abdominal radiographs...
