Adult Medicine Book

Sect. 1	Cardiology	1
Case 1	Angina at rest	2
Case 2	Hypertensive heart disease	3
Case 3	Chest pain in the emergency room	5
Case 4	An unusual cause of syncope	6
Case 5	Symptomatic valvular disease	7
Case 6	Evaluation of syncope and indications for cardiac pacing	8
Case 7	Evaluation of palpitations	9
Case 8	Therapy for congestive heart failure	10
Case 9	Preoperative cardiac evaluation	11
Case 10	A complication of myocardial infarction	12
Case 11	Treatment of hyperlipidemia	13
Case 12	Valvular disease in the elderly	14
Case 13	Congenital heart disease in an asymptomatic adult	15
Case 14	Risk stratification after myocardial infarction	16
Case 15	Evaluation of chest pain	17
Case 16	Heart failure management and evaluation	18
Case 17	Heart disease with cyanosis	19
Case 18	A common arrhythmia	20
Case 19	A man with dyspnea and a diastolic murmur	21
Case 20	Management of myocardial infarction	22
Case 21	Management of heart failure	23
Case 22	Arrhythmia related to drug therapy	24
Case 23	A new murmur after myocardial infarction	25
Case 24	A complication of inferior myocardial infarction	26
Case 25	Unstable angina	27
Case 26	Management of new congestive heart failure	28
Sect. 2	Internal Medicine	29
Case 27	Chest pain and facial rash	30
Case 28	Progressive knee pain	31
Case 29	Stiffness and wrist swelling	32
Case 30	Left knee pain	33
Case 31	Bilateral shoulder pain and stiffness	34
Case 32	Proximal muscle weakness	35
Case 33	Lethargy in a heavy smoker	36
Case 34	My sister broke her hip	37
Case 35	A diabetic with no complaints	38
Case 36	Abdominal pain and lethargy	39
Case 37	Palpitations	40
Case 38	Fatigue and weight gain	41
Case 39	Refractory hypotension	42
Case 40	Fatigue and weight gain	43
Case 41	Fever, myalgias, and a sore throat	44
Case 42	Adult immunization	45
Case 43	Fever, malaise, and sore throat	46
Case 44	Fever in a splenectomized patient	47
Case 45	Antibiotic resistance in a hospitalized patient	48
Case 46	Fever and headache after a hiking trip	49
Case 47	Persistent fever in a patient with a heart murmur	50
Case 48	Fever and shaking chills	51
Case 49	Fatigue and dyspnea in a human immunodeficiency virus (HIV) patient	52
Case 50	Pulmonary infiltrates in an intensive care unit (ICU) patient	53
Case 51	Fever and night sweats	54
Case 52	Shortness of breath and pleuritic chest pain	55
Case 53	Malaise, weight loss, and a pleural effusion	56
Case 54	A case of hemoptysis	57
Case 55	Wheezing and shortness of breath	58
Case 56	Dyspnea on exertion in a chronic smoker	59
Case 57	Daytime hypersomnolence	60
Case 58	Chronic cough with lower extremity skin lesions	61
Case 59	Progressive dyspnea and cough	62
Case 60	Hypotension in an intubated asthmatic patient	63
Case 61	Appropriate blood pressure control	64
Case 62	Worsening hypertension in a heavy smoker	65
Case 63	Hyponatremia in a depressed patient	66
Case 64	Hyperkalemia in a trauma patient	67
Case 65	Nausea and vomiting in an alcoholic patient	68
Case 66	Hyperkalemia and acidosis	69
Case 67	Elevated creatinine in an acutely ill patient	70
Case 68	Confusion and dark colored urine	71
Case 69	Acute renal insufficiency in a patient with cellulitis	72
Case 70	Acute renal insufficiency and pulmonary edema	73
Case 71	Nephrotic syndrome	74
Case 72	Gnawing epigastric pain	75
Case 73	Chronic cough and wheezing	76
Case 74	Difficulty in swallowing	77
Case 75	Abdominal discomfort relieved with defecation	78
Case 76	A young woman with chronic diarrhea	79
Case 77	Abdominal pain, diarrhea, and weight loss	80
Case 78	Severe abdominal pain with nausea and vomiting	82
Case 79	Shortness of breath, edema and new-onset diabetes	83
Case 80	Altered mental status in a cirrhotic patient	84
Case 81	Jaundice	85
Case 82	Abnormal transaminases in an asymptomatic patient	86
Case 83	Anemia in a patient with a prosthetic heart valve	87
Case 84	Macrocytosis and absent lower extremity deep tendon reflexes	88
Case 85	Marked thrombocytopenia	89
Case 86	Confusion, fatigue, and petechiae	90
Case 87	Left lower extremity swelling and chest pain	91
Case 88	Marked fatigue and back pain	92
Case 89	Mild fatigue with lymphocytosis	93
Case 90	Fatigue with splenomegaly	94
Case 91	Fatigue and bleeding gums	95
Case 92	Supraclavicular adenopathy and night sweats	96
Case 93	Mild fatigue and adenopathy	97
Case 94	A changing mole	98
Case 95	A young man with occult blood in his stool	99
Case 96	Weight loss and nonproductive cough	100
Case 97	Nocturia and an elevated prostate specific antigen (PSA) level	101
Case 98	An asymptomatic breast nodule	102
Case 99	End of life care	103
Case 100	Evaluating a new diagnostic test	104