This week’s free board review question…An 88-year-old man presents with a history of increasing confusion and lethargy progressing to obtundation over the past 12 hours. Vital signs are: Temperature 101.60F, blood pressure 88/60 mm Hg, pulse 120 beats/minute and regular, and respiratory rate 20 breaths/minute. General physical examination is normal with the exception of decreased mentation. There are no focal neurologic signs. Laboratory studies include: … Read More
Bedside Diagnostic Challenge – 37-year-old woman with fever
Today’s Bedside Diagnostic Challenge question comes from the desk of Med-Challenger Internal Medicine Editor-in-Chief, Paul F. Griner, MD, MACP. Test your bedside diagnostic skills with this review question. CaseA 37-year-old woman presents to a local hospital with the complaint of a high fever. She is visiting from another state and has not been ill until the onset of cough and … Read More