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Internal Medicine

Public·45 members

42-year-old man with progressive cough, fever, and shortness of breath for three weeks. He recently placed mulch in his backyard.

Patient History:

  • Medical Conditions: Hyperlipidemia and hypertension.

  • Medications: Atorvastatin 20 mg daily, lisinopril 10 mg daily.

  • Lifestyle: Non-smoker.

  • Recent Activity: Recently placed mulch in his yard.

Manar Ismail
2 days ago



A 34-year-old woman with a history of three weeks of swelling and tenderness over the dorsum of the left hand, pain, redness, and swelling in her right ankle, intermittent pain in shoulder and knee joints, and a rash on her lower extremities. Here are the key points and findings:

Patient History:

  • Unhoused: Staying in shelters and homes of acquaintances in downtown Los Angeles.

  • Substance Use: Smokes one pack of cigarettes daily, consumes four to six alcoholic beverages daily, occasionally smokes marijuana, and occasionally smokes methamphetamine. No injection drug use.

  • Sexual History: Several intimate partners in the past year.

Physical Examination:

Mazen Kherallah
Mazen Kherallah
3 days ago

Key Points:

  • Clinical Presentation: Swelling and tenderness in multiple joints, rash on lower extremities, and elevated inflammatory markers.

  • Risk Factors: Multiple sexual partners and substance use.

  • Laboratory Findings: Elevated leukocyte count, neutrophilia, elevated ESR, and CRP.

Neisseria gonorrhoeae is known to cause disseminated infections, presenting with symptoms such as tenosynovitis, dermatitis, and polyarthralgia, which matches the patient's symptoms.

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Mazen Kherallah
Mazen Kherallah
11 days ago · changed the group description.

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