Answer: C. First line therapy for Burkitt lymphoma is hyperfractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone (R-hyper-CVAD). Patients with the diagnosis of Burkitt lymphoma always

A 34 year-old man arrives to the emergency department because of fever, neck pain, and a rapidly enlarging right cervical lymph node. He first noticed the lymph node growing bigger 3 weeks ago. The patient

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The first tablet

Answer: C. Recommended treatment for a high-grade neuroendocrine tumor of unknown primary site is platinum-based chemotherapy. This patient has high-grade poorly differentiated neuroendocrine tumors arising

An 82 year old caucasian man comes to the office with complaints of increasing fatigue, abdominal pain, decreased appetite, and a 4.5-kg (10-lb) weight loss over the last month. He does not have cough,

Answer: B. Offer all premenopausal females antiestrogen therapy after they complete breast cancer treatment. The patient is a premenopausal female who has completed breast surgery, radiation therapy and

A 43-year-old Latina woman comes to the office for a follow-up evaluation following a recent diagnosis and treatment of breast cancer. The biopsy of the cancer demonstrated an estrogen receptor–positive,

Can you feel the electricity in the air?

Answer: C. Offer patients with non–small cell lung cancer and poor performance status palliative care early in the course of the disease. A 2010 NEJM article attests to the benefit of early palliative

A 72 year-old man visits your office after being diagnosed with non–small cell lung cancer 2 weeks ago. For the last 3 months he has suffered from worsening shortness of breath, fatigue, and reduced appetite.

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Hidden in plain sight

B. Constrictive pericarditis is a cause of ascites. Serum-ascites albumin gradient or SAAG of 1.1 g/dL or greater with an ascitic fluid total protein level of 2.5 g/dL (25 g/L) or greater indicates a cardiac

A 70 year old African American man comes to the hospital because of new-onset ascites with lower-extremity edema. His symptoms have increased over the past 4 weeks. He has consumes four alcoholic beverages

Answer E. Patients with a positive antibody to hepatitis C virus (HCV) but negative HCV RNA do not have HCV infection, and no further testing is required. Patients who are hepatitis C virus (HCV) antibody

A 45 year old caucasian man comes to your clinic after a recent routine screening for antibody to hepatitis C virus (HCV) was positive. His medical history is unremarkable; he has not used illicit drugs

People under consideration for this episode: Debbie Duran: JD Kain has said "she is still allowed to come on, but she's on the shortest of short leashes." Todd Smith: newcomer to the

Answer C: Tell the patient to brush the tongue. Management of black hairy tongue consists of tongue brushing as part of aggressive oral hygiene. The patient has black hairy tongue. The correct management

A 78 year-old man comes to the clinic because of discoloration of his tongue and bad breath. The color of the tongue changed slowly and occurred with halitosis over several weeks. He feels well and has