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American Board of Medical Specialties: post #2587 — TG.ME

American Board of Medical Specialties@abmsj · 1.5K subscribers Open in TelegramOpen

[media without text]

t.me/abmsj/2587

August 27, 2026 5

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[media post] 2·Sep 2 A 48-year-old man presents to the emergency department with shortness of breath. He reports that 6 months ago he was able to walk several miles without stopping. Yesterday, he became short of breath walking from his bed to the bathroom. He also endorses worsening abdominal distension and leg swelling, which he reports is new from several months ago. The patient has a past medical history of hypertension and hyperlipidemia. On physical exam, the patient has moderate abdominal distension and pitting edema to the knee. Crackles are present at the bilateral bases. Laboratory testing reveals the following: Hemoglobin: 13.4 g/dL Mean corpuscular volume (MCV): 102 um^3 Leukocyte count: 11,200 /mm^3 with normal differential Platelet count: 256,000/mm^3 Serum: Na+: 137 mEq/L Cl-: 100 mEq/L K+: 4.2 mEq/L HCO3-: 25 mEq/L BUN: 18 mg/dL Glucose: 126 mg/dL Creatinine: 0.9 mg/dL Alkaline phosphatase: 88 U/L Aspartate aminotransferase (AST): 212 U/L Alanine aminotransferase (ALT): 104 U/L Which of the following is the best next step in management? 2·Sep 2 The American Academy of Pediatrics just dropped their fall survival guide, and spoiler alert: it’s time to prep the kids. They’re recommending fresh COVID boosters and RSV protection to keep your home from becoming a germ factory this season. Better to grab those shots now than play catch-up later! 💉🛡️ 👇 Check it out: MedPage Today 2·Sep 2 [media post] 4·Sep 1 A 42-year-old man comes to the physician because he is concerned that he is balding. Over the past few months, he has noticed patchy areas of hair loss on his head. He also mentions that he has felt depressed since the death of his wife last year and has unintentionally lost about 18 kg (40 lbs). He is constantly fatigued. He has little appetite because he feels food does not taste the same way anymore. He also has occasional episodes of watery diarrhea. He drinks 5–6 cans of beer daily. Vital signs are within normal limits. Examination shows dry, scaly skin on both feet. There is patchy alopecia of the scalp, axillae, chest, and mons pubis. Which of the following is most likely to directly improve this patient's alopecia? 4·Sep 1

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