A 34-year-old female with a history of seizure disorder presents with a generalized tonic–clonic seizure. She is on phenytoin for her seizures. Her postictal state has elapsed and she is alert and oriented now. Vital signs are 99°F, 85, 155/80, 99% RA. Physical examination is normal. Which of the following is the most likely cause for her seizure?
Neuro Surgery • General Medicine + 1 more
Cardiology • General Medicine
General Medicine • Cardiology
A 35-year-old female presents in a coma (Glasgow Coma Scale 3) after a motor vehicle crash and is intubated for airway protection. Further evaluation reveals no life-threatening chest, abdomen, or pelvic injuries. Vital signs are normal. A computed tomography (CT) scan of the head is normal. Which of the following is the most likely diagnosis?
General Medicine • Emergency Medicine
A 67-year-old female with diabetes, hypertension, and a history of an aortoiliac bypass graft presents with abdominal pain and dark, “funny-smelling” stools. She states the symptoms started 2 days ago and seem to have gone away as she had a “nearnormal” bowel movement this morning and no longer has pain. On examination, she has guaiac positive, dark brown, but not melenic stool. Which of the following must be excluded as a cause of hemorrhage?
General Surgery • Surgical Gastroenterology
56-year-old male presents with generalized fatigue, weakness, and vomiting. He tells you that he has taken an overdose of his doxepin medication. His BP is 155/95, and his EKG demonstrates a regular, wide-complex tachycardia. Which of the following is the most appropriate next step in management?
General Medicine • General Surgery + 1 more
A 66-year-old female who recently completed chemotherapy for colon cancer through a right chest Port-a-Cath presents with a chief complaint of right arm pain, swelling, and weakness. The right hand is warm, and well perfused. The radial pulse is equal to the contralateral side. There is no evidence of cellulitis. An upper extremity deep venous thrombosis (DVT) is suspected. Which of the following is the next best test?
General Medicine • Physical Medicine + 1 more
A 53-year-old female with a high-grade non-Hodgkin lymphoma develops tumor lysis syndrome (TLS) after undergoing induction chemotherapy. Which of the following substances will have a lower concentration than normal upon laboratory testing?
Endocrinology • General Surgery + 1 more
A 26-year-old female presents with dyspnea and pleuritic chest pain and is subsequently diagnosed with a PE. She is not pregnant, takes no oral contraceptive therapy, and is a nonsmoker, but she notes that her mother has had two PEs. Which of the following is the most likely cause of this patient’s PE?
General Medicine • Pulmonary Medicine + 1 more