Archive for 11/10/2012


A previously healthy 8-year-old boy has a 3-week history of low-grade fever of unknown source, fatigue, weight loss, myalgia, and headaches. On repeated examinations during this time, he is found to have developed a heart murmur, petechiae, and mild splenomegaly. Which of the following is the most likely diagnosis?

a. Rheumatic fever

b. Kawasaki disease

c. Scarlet fever

d. Endocarditis

e. Tuberculosis

the answer is below…

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A 24-year-old man comes to the physician with the chief complaint that his nose is too big, to the point of being hideous. The patient states that his nose is a constant embarrassment to him, and he would like it surgically reduced. He tells the physician that three previous surgeons had refused to operate on him because they said his nose was fine, but the patient asserts that “they just didn’t want such a difficult case.” The physician observes that the patient’s nose is of normal size and shape. Based on this patient’s clinical picture, which of the following is the most likely diagnosis?

a. Schizophrenia

b. Narcissistic personality disorder

c. Body dysmorphic disorder

d. Anxiety disorder not otherwise specified

e. Schizoaffective disorder

the answer is below…

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