A newborn boy is found to have an increased head circumference, macroglossia, an umbilical hernia, lethargy, and a hoarse cry. The mother has no significant past medical history, takes no medications, and received adequate prenatal care. His serum thyroxine (T4) concentration is ~50% that of normal infants.
A 4-year-old boy is brought to the emergency department after being seen shaking on the floor. He had been playing with a video game when the episode began. He has no prior history of seizures or neurologic disorders. The episode resolved after 2 minutes. >>>What is the most […]
Check out today’s Step 1 Casebook Challenge. Know the answers? Post them below! Don’t forget to check back tomorrow for an update with the correct answers and explanations. A bright medical student is studying for the USMLE Step 1 in the library basement. Although he feels that he […]
A woman rushes her 65-year-old husband into the emergency department after he said he felt crushing chest pain while eating a steak. Blood work is ordered and the physician finds that the man’s cholesterol is very high and that the man most likely had an acute myocardial infarction […]