A 28-year-old man presents to the office complaining of a sore throat mostly on the left side, difficulty swallowing, and difficulty opening his mouth for the past 5 days. He is up to date on his immunizations. On examination, his temperature is 39.5°C (103.2°F), and he has bilateral cervical lymphadenopathy. His voice is somewhat muffled. An oropharyngeal examination is difficult because the patient finds it painful to open his mouth fully. Still, you can view pharyngeal erythema and a large, unilateral left tonsil with purulent drainage. A rapid antigen detection test is negative. What is the most likely diagnosis?

Most common thyroid cancer after radiation exposure: anonymous poll Papillary cancer – 2 ??????? 50% Follicular cancer – 2 ??????? 50% Medullary cancer ▫️ 0% Anaplastic cancer ▫️ 0% ? 4 people voted so far.

A 26-year-old man from India visits the clinic with complaints of feeling tired all the time and experiencing a lack of energy for the past couple of weeks. He also complains of weakness and numbness in his lower limbs. He has been strictly vegan since age 18, including not consuming eggs and milk. He does not take any vitamin or dietary supplements. Physical examination reveals a smooth, red beefy tongue along with lower extremity sensory and motor deficits. What other finding is most likely to accompany this patient’s condition?

A 35-year-old man who is a professional baseball player presents with stiffness in his hands. He says he is unable to bat as he would like and lacks power in his swing. He also noticed that he sometimes drags his feet while walking, and his voice seems to have changed. On physical examination, strength is 3/5 in the extensor and flexor muscle groups in both upper and lower limbs bilaterally. The sensation is intact. Widespread muscle fasciculations are noted. Which of the following is the most likely diagnosis in this patient?

#case

A 55-year-old M with PMH of diabetes and hypertension presents with recurrent episodes of chest pain for the past 6 months that worsen with exertion and resolve with nitroglycerin or rest.
Exam: Blood pressure 160/80, heart rate 98, SpO2 94% room air.

Labs/ Imaging: EKG does not show any new or concerning changes. Serial troponins are negative.

?Give your Diagnosis

الأجابة في خانة التعليقات سيتم الأجابة عن السؤال غدا إن شاء الله