A 19-year-old female college student presents to the campus health clinic after fainting during a biology lab while watching a dissection. She reports feeling nauseous, sweaty, and light-headed just before collapsing. Witnesses noted she was unconscious for less than a minute and recovered fully within a few minutes without intervention. Her vital signs are now normal, and she has no history of cardiac issues. The physician suspects vasovagal syncope triggered by the stressful event. In this patient with suspected vasovagal syncope following a stressful trigger, which of the following best describes the underlying mechanism and characteristic features?
A 38-year-old man presents with a 3 cm, soft, fluctuant swelling on the left dorsal wrist. The lump is non-tender and transilluminates when light is shined through it. He has no history of trauma or infection.He is a college professor and uses his left hand to write on the black board. Which of the following is the most useful initial diagnostic tool for confirming a ganglion cyst?
A 27-year-old woman presents with a painless, soft, and mobile lump. She reports that the lump has slowly increased in size over the past few months. There is no history of trauma or significant pain. You suspect a ganglion cyst. Which of the following is the most common site for the development of a ganglion cyst?
A 33-year-old female patient has been diagnosed with a ganglion cyst on her finger, which occasionally causes discomfort when she uses her hand. She works as a costume designer in a production company. She inquires about treatment options. Which treatment option for ganglion cysts has the highest recurrence rate?
A 34-year-old male presents with a small, painless mass on the volar aspect of his wrist near the radial artery. He is a carpenter. He reports occasional discomfort when gripping objects. On examination, the mass is firm, non-tender, and transilluminates. What is the most appropriate initial management for this patient?
A 27-year-old right-handed woman presents to the outpatient clinic complaining of a lump on the back of her right wrist. She first noticed the lump six months ago, and it has slowly increased in size. She describes occasional mild discomfort when flexing her wrist, particularly during activities like typing or lifting objects. She denies any trauma, redness, or significant pain. History: •Past Medical History: None significant •Family History: Hypertension Occupation: Computer data analyst •Social History: Non-smoker, no alcohol use Physical Examination: •Inspection: A 2.8 cm soft, fluctuant, round lump is visible on the dorsal aspect of the right wrist. •Palpation: The mass is non-tender, mobile, and fluctuant without warmth or erythema. •Transillumination: The mass transilluminates, consistent with a fluid-filled cyst. •Range of motion: Full wrist range of motion with mild discomfort during wrist flexion. •No signs of infection or neurovascular compromise. Diagnostic Tests: •Ultrasound of the wrist: Confirms a fluid-filled cyst.n What is the most likely diagnosis for this patient’s wrist lump?
A 40-year-old female patient presents with bilateral, tender subcutaneous nodules on her lower legs. Which of the following medications is most likely linked to her symptoms?
A 25-year-old man presents with painful red nodules on his shins for 10 days, accompanied by abdominal pain and diarrhea. Examination reveals multiple tender, erythematous nodules on both shins. Stool cultures are positive for Yersinia enterocolitica. What is the best next step in managing this patient’s erythema nodosum?
A 35-year-old woman presents with a 2-week history of tender nodules on her lower legs, fatigue, and low-grade fever. She has no recent infections or medication changes but reports chronic cough and shortness of breath for the past month. Examination reveals tender erythematous nodules on the anterior shins. A chest X-ray shows bilateral hilar lymphadenopathy. What is the most likely underlying cause of this patient’s condition?
A 30-year-old female presents with painful, red nodules on her shins that appeared 5 days ago. She also complains of fatigue, fever, and mild joint pain. She recalls a recent sore throat 3 weeks ago but denies cough or gastrointestinal symptoms. Physical examination reveals tender nodules on the anterior shins. Her ASO titer is elevated, and a chest X-ray is normal. What is the most likely diagnosis?
