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MKSAP: 38-year-old woman with fatigue and dyspnea on exertion
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated for a 6-month history of progressive fatigue and dyspnea on exertion. Over the past 2 years she has noted episodes of hand swelling, joint pain, blue color change of her fingers with cold exposure, and difficulty swallowing. She takes no medications. On physical examination, temperature is 36.9 °C (98.4 °F), blood pressure is 126/84 mm Hg, pulse rate is 88/min, and respiration rate is 18/min. Cardiac examination reveals an accentuated pulmonic component of S2 and a grade 2/6 ho...
Source: Kevin, M.D. - Medical Weblog - July 13, 2013 Category: Family Physicians Tags: Conditions Pulmonology Source Type: blogs