Splenic abscess?,”Splenic abscess usually presents with the classic triad of fever, leukocytosis, and left upper-quadrant abdominal pain. Patients can also develop left-sided pleuritic chest pain, left pleural effusion, and splenomegaly. Risk factors for splenic abscess include hematogenous spread, immunosuppression, IV drug use, trauma

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Polymyalgia rheumatica (PMR) ?,”Characteristic features of PMR:- Age > 50- Subacute-to-chronic (>1 month) pain in the shoulder and hip girdles- Morning stiffness lasting >1 hour- Constitutional symptoms- Elevated ESR > 40 mm/h- No other apparent explanation for symptomsLow-dose glucocorticoids are the treatment of choice for PMR (eg, prednisone 10-20 mg daily). PMR is frequently associated with giant cell arteritis

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BPH and renal symptoms?,”BPH (benign prostatic hyperplasia) is typically associated with a smooth, firm, and enlarged prostate. In contrast, prostate cancer often presents with a palpable nodule at the periphery of the prostate gland. All patients with suspected BPH should have urinalysis (to look for hematuria) and a serum creatinine test. Bladder outlet obstruction should be considered in any patient with suspected BPH and acute kidney injury. Generally, creatinine is not elevated by unilateral obstruction (kidney stones), but it is elevated due to bilateral obstruction. As a result

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Clinical diagnosis of Parkinson’s disease?,”1. Tremor:- A resting 4-6 Hz tremor with a “”pill rolling”” quality- Frequently first manifests in one hand, and may then slowly generalize to involve the other side of the body and the lower extremities2. Rigidity:- Baseline increased resistance to passive movement about a joint3. Bradykinesia:- Difficulty initiating movements, as when starting to walk or rising from a chair- Narrow-based, shuffling gait with short strides and without arm swing- Micrographia (small handwriting)- Hypomimia (decreased facial expression)- Hypophonia (soft speech)4. Postural instability:- Flexed axial posture- Loss of balance during turning or stopping- Loss of balance when pushed slightly from a stationary bipedal stance- Frequent falls The 3 cardinal signs of Parkinson disease are rest tremor, rigidity

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