An asymptomatic 56years man who has never consumed alcohol came for a routine checkup. Exam: increase spider angioma, Cardiomegaly, S3 gallop, liver firm with 8cm span, no ascites.
He is in the risk of which condition?
A patient presented to you who is known case of hypothyroidism and on thyroxin, he also has increase PT normal Vitamin D, Creatinine is very high.
On examination tapping of the angle of jaw produce facial spasms, what diagnosis?
A 74-year-old woman is referred to osteoporosis clinic for advice on management of osteoporosis. She has a history of hiatus hernia, hypertension, hypercholesterolemia, chronic kidney disease stage 4 and COPD. She has recently been found to have osteoporosis after a Colles' fracture. She is taking calcitriol, and other medication for her comorbidities.
Based on the information above, which would be the most appropriate agent for treatment of her osteoporosis?
An HIV-positive man comes in with progressive dysphagia and odynophagia. He has 75 CD4 cells but no history of opportunistic infections.
What is the next best step in management?
A 45-year-old woman has a 2-cm breast cancer tumor removed by lumpectomy, and the breast is irradiated. The cancer is negative for estrogen receptors and positive for progesterone receptors. Three of 14 nodes removed from the axilla are positive for cancer.
What is the next best step in management?
