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Adjustment disorder with depressed mood | 607 | craftmd_207 | A 20-year-old college student comes to the physician because she has been extremely sad for the past 3 weeks and has to cry constantly. Three weeks ago, her boyfriend left her after they were together for 4 years. She has no appetite and has had a 2.3-kg (5.1-lb) weight loss. She has missed several classes because she ... | Which of the following is the most likely diagnosis? | C0001539 | F43.21 | T048 | Mental or Behavioral Dysfunction | 20 Years | F | 6 |
Anorexia nervosa | 608 | craftmd_208 | A 16-year-old girl is brought to the physician because her mother is concerned about her lack of appetite and poor weight gain. She has had a 7-kg (15-lb) weight loss over the past 3 months. The patient states that she should try to lose more weight because she does not want to be overweight anymore. She maintains a di... | Which of the following is the most likely diagnosis? | C0003125 | F50.00 | T048 | Mental or Behavioral Dysfunction | 16 Years | F | 7 |
Cystic fibrosis | 616 | craftmd_216 | A 14-year-old boy is brought to the physician because of increasing swelling of his legs and generalized fatigue for 1 month. During this period he has also had a productive cough and shortness of breath. He has been unable to carry out his daily activities. He has a history of recurrent respiratory tract infections an... | Which of the following is the most likely diagnosis? | C0010674 | E84.9 | T047 | Disease or Syndrome | 14 Years | M | 13 |
Psoas muscle abscess | 617 | craftmd_217 | A 35-year-old woman comes to the physician because of progressive left flank pain and increased urinary frequency for the past two weeks. Her appetite is normal and she has not had any nausea or vomiting. She has a history of type 1 diabetes mellitus that is poorly controlled with insulin. She is sexually active with h... | Which of the following is the most likely diagnosis? | C0085222 | K68.12 | T047 | Disease or Syndrome | 35 Years | F | 14 |
Open-angle glaucoma | 618 | craftmd_218 | A 64-year-old woman comes to the physician for a follow-up examination. She has had difficulty reading for the past 6 months. She tried using multiple over-the-counter glasses with different strengths, but they have not helped. She has hypertension and type 2 diabetes mellitus. Current medications include insulin and e... | Which of the following is the most likely diagnosis? | C0017612 | H40.10 | T047 | Disease or Syndrome | 64 Years | F | 15 |
Actinic keratosis | 619 | craftmd_219 | A 68-year-old man comes to the physician 3 months after noticing skin changes on his scalp. When he scrapes off the crust of the lesion, it reappears after a few days. Occasionally, his scalp itches or he notices a burning sensation. He had a mole removed on his right forearm 5 years ago. He is a retired winemaker. His... | Which of the following is the most likely diagnosis? | C0022602 | L57.0 | T191 | Neoplastic Process | 68 Years | M | 16 |
Ichthyosis vulgaris | 620 | craftmd_220 | A 17-year-old boy presents to his pediatrician for a wellness checkup. The patient states he feels well and has been excelling in school. He is in his school's wrestling and football team and is currently sexually active with his girlfriend. Physical exam reveals an energetic young man with the finding seen in Figure A... | Which of the following is the most likely diagnosis? | C0079584 | Q80.0 | T047 | Disease or Syndrome | 17 Years | M | 17 |
Myotonic dystrophy | 633 | craftmd_233 | A 9-year-old boy is brought to the physician for a well-child examination. His mother says his teachers report him being easily distracted, lagging behind his classmates in most of the subjects, and frequently falling asleep during class. She says that her son has complained of leg pain on multiple occasions. He is at ... | Which of the following is the most likely diagnosis? | C0027126 | G71.11 | T047 | Disease or Syndrome | 9 Years | M | 24 |
Hemothorax | 635 | craftmd_235 | A 32-year-old man is brought to the emergency department 15 minutes after falling 7 feet onto a flat-top wooden post. On arrival, he is in severe pain and breathing rapidly. His pulse is 135/min, respirations are 30/min, and blood pressure is 80/40 mm Hg. There is an impact wound in the left fourth intercostal space at... | Which of the following is the most likely diagnosis? | C0019123 | J94.2 | T046 | Pathologic Function | 32 Years | M | 26 |
Subacute thyroiditis | 642 | craftmd_242 | A 33-year-old woman comes to the physician because of a 4-day history of fever and neck pain that radiates to the jaw and ears. She has also noticed swelling in the front part of her throat since the onset of the pain. She reports feeling anxious and sweating profusely over the past 2 days. She has no history of major ... | Which of the following is the most likely diagnosis?" | C0040149 | E06.1 | T047 | Disease or Syndrome | 33 Years | F | 31 |
Vascular dementia | 653 | craftmd_253 | A 72-year-old man is brought to the physician by his wife for forgetfulness, confusion, and mood changes for the past 4 months. His symptoms started with misplacing items such as his wallet and keys around the house. Two months ago, he became unable to manage their finances as it became too difficult for him. Last week... | Which of the following is the most likely diagnosis? | C0011269 | F01.50 | T047 | Disease or Syndrome | 72 Years | M | 40 |
Asthma | 661 | craftmd_261 | A 4-year-old boy is brought to the physician in December for episodic shortness of breath and a nonproductive cough for 3 months. These episodes frequently occur before sleeping, and he occasionally wakes up because of difficulty breathing. His mother also reports that he became short of breath while playing with his f... | Which of the following is the most likely diagnosis? | C0004096 | J45.90 | T047 | Disease or Syndrome | 4 Years | M | 47 |
Sarcoidosis | 662 | craftmd_262 | A 27-year-old woman comes to the physician because of increasing shortness of breath and a non-productive cough for 2 months. She has been unable to perform her daily activities. She has had malaise and bilateral ankle pain during this period. She noticed her symptoms after returning from a vacation to Arizona. She is ... | Which of the following is the most likely diagnosis? | C0036202 | D86.9 | T047 | Disease or Syndrome | 27 Years | F | 48 |
Fibromyalgia | 664 | craftmd_264 | A 39-year-old woman comes to the physician because of recurrent episodes of severe pain over her neck, back, and shoulders for the past year. The pain worsens with exercise and lack of sleep. Use of over-the-counter analgesics have not resolved her symptoms. She also has stiffness of the shoulders and knees and tinglin... | Which of the following is the most likely diagnosis? | C0016053 | M79.7 | T047 | Disease or Syndrome | 39 Years | F | 50 |
Enterocele | 665 | craftmd_265 | A 70-year-old woman, gravida 5, para 5, comes to the physician for the evaluation of sensation of vaginal fullness for the last six months. During this period, she has had lower back and pelvic pain that is worse with prolonged standing or walking. The patient underwent a hysterectomy at the age of 35 years because of ... | Which of the following is the most likely diagnosis? | C0205792 | N81.5 | T190 | Anatomical Abnormality | 70 Years | F | 51 |
Atrial septal defect | 666 | craftmd_266 | A 3-year-old boy is brought to the physician for a well-child examination. He feels well. He was born at 38 weeks' gestation and weighed 2766 g (6 lb 2 oz). He now weighs 14 kg (31 lbs). There is no personal or family history of serious illness. His immunizations are up-to-date. He is at 60th percentile for height and ... | Which of the following is the most likely diagnosis? | C0018817 | Q21.10 | T019 | Congenital Abnormality | 3 Years | M | 52 |
Borderline personality disorder | 671 | craftmd_271 | A 25 year-old woman is brought to the emergency department by her boyfriend after she cut her forearms with a knife. She has had multiple visits to the emergency department in the past few months for self-inflicted wounds. She claims that her boyfriend is the worst person in the world. She and her boyfriend have broken... | Which of the following is the most likely diagnosis? | C0006012 | F60.3 | T048 | Mental or Behavioral Dysfunction | 25 Years | F | 56 |
Acute pancreatitis | 679 | craftmd_279 | A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour. The pain radiates to the back and is associated with nausea. He has had two episodes of non-bloody vomiting since the pain started. He has a history of hypertension and type 2 diabetes mellitus. He has smoked one p... | Which of the following is the most likely diagnosis?" | C0001339 | K85.9 | T047 | Disease or Syndrome | 50 Years | M | 62 |
Seborrheic dermatitis | 681 | craftmd_281 | A 28-year-old man comes to the physician because of a 3-month history of a recurrent pruritic rash on his face and scalp. He reports that he has been using a new shaving cream once a week for the past 5 months. A year ago, he was diagnosed with HIV and is currently receiving triple antiretroviral therapy. He drinks sev... | Which of the following is the most likely diagnosis? | C0036508 | L21.9 | T047 | Disease or Syndrome | 28 Years | M | 64 |
Roseola infantum | 688 | craftmd_288 | An 9-month-old infant is brought to the physician because of a generalized nonpruritic rash for 2 days. The rash began on her trunk and spread to her extremities. Five days ago, she was taken to the emergency department for fever of 40.5°C (104.9°F) and a 1-minute generalized tonic-clonic seizure. She was born at term ... | Which of the following is the most likely diagnosis? | C0015231 | B08.20 | T047 | Disease or Syndrome | 9 Months | F | 69 |
Schizoid personality disorder | 694 | craftmd_294 | A 17-year-old boy is brought to the physician by his mother because of increasingly withdrawn behavior for the last two years. His mother reports that in the last 2–3 years of high school, her son has spent most of his time in his room playing video games. He does not have any friends and has never had a girlfriend. He... | Which of the following is the most likely diagnosis? | C0036339 | F60.1 | T048 | Mental or Behavioral Dysfunction | 17 Years | M | 74 |
Obsessive-compulsive personality disorder | 707 | craftmd_307 | A previously healthy 30-year-old woman comes to the physician because of nervousness and difficulty sleeping over the past 4 weeks. She has difficulty falling asleep at night because she cannot stop worrying about her relationship and her future. Three months ago, her new boyfriend moved in with her. Before this relati... | Which of the following is the most likely diagnosis? | C0009595 | F60.5 | T048 | Mental or Behavioral Dysfunction | 30 Years | F | 83 |
Reactive arthritis | 708 | craftmd_308 | A 17-year-old boy is brought to the physician because of increasing pain and swelling of his right knee for 12 days. He has had episodes of pain with urination for 3 weeks. He had a painful, swollen left ankle joint that resolved without treatment one week ago. His mother has rheumatoid arthritis. He is sexually active... | Which of the following is the most likely diagnosis?" | C0085435 | M02.3 | T047 | Disease or Syndrome | 17 Years | M | 84 |
Dependent personality disorder | 709 | craftmd_309 | A 34-year-old female presents to a counselor at the urging of her parents because they are concerned that she might be depressed. After recently breaking up with her long-term boyfriend, she moved back in with her parents because she could not handle making decisions alone. Soon after their breakup, she started going o... | Which of the following is the most likely diagnosis? | C0011548 | F60.7 | T048 | Mental or Behavioral Dysfunction | 34 Years | F | 85 |
Conus medullaris syndrome | 713 | craftmd_313 | A 47-year-old man comes to the emergency department because of urinary and fecal incontinence for 6 hours. Earlier in the day, he suffered a fall at a construction site and sustained injuries to his back and thighs but did not seek medical attention. He took ibuprofen for lower back pain. His temperature is 36.9°C (98.... | Which of the following is the most likely diagnosis? | C0742803 | G95.81 | T047 | Disease or Syndrome | 47 Years | M | 88 |
Hypertensive emergency | 716 | craftmd_316 | A 72-year-old woman comes to the emergency department 4 hours after the sudden onset of a diffuse, dull, throbbing headache. During this time, she also reports blurred vision, nausea, and one episode of vomiting. She has a history of hypertension and type 2 diabetes mellitus. Her medications include hydrochlorothiazide... | Which of the following is the most likely diagnosis? | C0745136 | I16.1 | T047 | Disease or Syndrome | 72 Years | F | 91 |
Transient synovitis | 718 | craftmd_318 | A 6-year-old boy is brought to the physician because of right hip pain that started that afternoon. His mother reports that he has also been limping since the pain developed. He says that the pain worsens when he moves or walks. He participated in a dance recital yesterday, but his mother believes that he was not injur... | Which of the following is the most likely diagnosis? | C0343179 | M67.30 | T047 | Disease or Syndrome | 6 Years | M | 93 |
Tuberous sclerosis | 723 | craftmd_323 | A 7-year-old boy is brought to the physician by his parents because of a 4.5-kg (10-lb) weight loss during the last 3 months. During this period, he has complained of abdominal pain and fullness, and his parents feel that he has been eating less. His parents also report that his urine has appeared pink for several week... | Which of the following is the most likely diagnosis? | C0041341 | Q85.1 | T191 | Neoplastic Process | 7 Years | M | 98 |
Bulimia nervosa | 725 | craftmd_325 | A 17-year-old girl is brought to the physician for a well-child examination. She is worried about gaining weight. She frequents buffet restaurants but feels guilty soon after. She has a history of burning her extremities with cigarettes. Her last menstrual period was 3 weeks ago. She attends high school and plays field... | Which of the following is the most likely diagnosis? | C2267227 | F50.2 | T048 | Mental or Behavioral Dysfunction | 17 Years | F | 100 |
Antisocial personality disorder | 727 | craftmd_327 | A 24-year-old man comes to the physician with a wound on his forearm. He says that he injured himself by absentmindedly walking into a glass door. He does not have health insurance. He has had 5 jobs in the past 8 months. He quit each job after 3–4 weeks because he found the work beneath him. He was imprisoned 6 years ... | Which of the following is the most likely diagnosis? | C0003431 | F60.2 | T048 | Mental or Behavioral Dysfunction | 24 Years | M | 101 |
Placenta previa | 732 | craftmd_332 | A 36-year-old woman, gravida 4, para 3, at 35 weeks' gestation is brought to the emergency department for the evaluation of a sudden, painless, bright red vaginal bleeding for the last hour. She has had no prenatal care. Her third child was delivered by lower segment transverse cesarean section because of a preterm bre... | Which of the following is the most likely diagnosis? | C0032046 | O44.0 | T046 | Pathologic Function | 36 Years | F | 106 |
Indirect inguinal hernia | 733 | craftmd_333 | A 37-year-old woman comes to the physician because of right-sided inguinal pain for the past 8 weeks. During this period, the patient has had increased pain during activities such as walking and standing. She has no nausea, vomiting, or fever. Her temperature is 36.8°C (98.2°F), pulse is 73/min, and blood pressure is 1... | Which of the following is the most likely diagnosis? | C0019296 | K40 | T020 | Acquired Abnormality | 37 Years | F | 107 |
Epidermoid cyst | 738 | craftmd_338 | A 50-year-old man comes to the physician for a routine checkup. He has had a progressively increasing swelling on the nape of his neck for 2 months. He does not have a fever or any discharge from the swelling. He underwent a colectomy for colon cancer at the age of 43 years. He has type 2 diabetes mellitus, hypertensio... | Which of the following is the most likely diagnosis? | C0014511 | L72.3 | T190 | Anatomical Abnormality | 50 Years | M | 111 |
Ichthyosis vulgaris | 745 | craftmd_345 | An 8-year-old boy is brought to the physician because he has excessively dry skin. His mother says that he has had dry, scaly skin since he was 6 months old. She says it is worse in winter and better in summer. There is no associated itching, redness, or discharge. Examination reveals generalized fine scales with coars... | Which of the following is the most likely diagnosis? | C0079584 | Q80.0 | T047 | Disease or Syndrome | 8 Years | M | 115 |
Trichotillomania | 747 | craftmd_347 | A 13-year-old girl is brought to the physician by her parents for the evaluation of progressive hair loss over the past 2 months. The parents report that they have noticed increased number of hairless patches on their daughter's head. The patient denies any itching. There is no personal or family history of serious ill... | Which of the following is the most likely diagnosis? | C0040953 | F63.3 | T048 | Mental or Behavioral Dysfunction | 13 Years | F | 117 |
Cauda equina syndrome | 762 | craftmd_362 | A 65-year-old woman comes to the physician for the evaluation of sharp, stabbing pain in the lower back for 3 weeks. The pain radiates to the back of her right leg and is worse at night. She reports decreased sensation around her buttocks and inner thighs. During the last several days, she has had trouble urinating. Th... | Which of the following is the most likely diagnosis? | C0392548 | G83.4 | T047 | Disease or Syndrome | 65 Years | F | 129 |
Histrionic personality disorder | 763 | craftmd_363 | A 24-year-old woman comes to her physician because of fatigue. She has been coming to the office multiple times a month for various minor problems over the past six months. During the appointments, she insists on a first name basis and flirts with her physician. She always dresses very fashionably. When his assistant e... | Which of the following is the most likely diagnosis? | C0019681 | F60.4 | T048 | Mental or Behavioral Dysfunction | 24 Years | F | 130 |
Persistent depressive disorder | 774 | craftmd_374 | A 45-year-old man is brought to the physician by his wife because of difficulty sleeping and poor appetite for the past 4 weeks. During this period, he also has had persistent sadness and difficulty concentrating on tasks, because of which he has been reprimanded at work for poor performance. Over the past 3 years, he ... | What is the most likely diagnosis in this patient? | C4087263 | F34.1 | T048 | Mental or Behavioral Dysfunction | 45 Years | M | 137 |
Ischemic colitis | 777 | craftmd_377 | Five days after undergoing an open abdominal aortic aneurysm repair, a 68-year-old woman has crampy abdominal pain. During this period, she has also had two episodes of loose, bloody stools. Her surgery was complicated by severe blood loss requiring the administration of vasopressors and multiple transfusions. Cefazoli... | Which of the following is the most likely diagnosis? | C0162529 | K55.9 | T047 | Disease or Syndrome | 68 Years | F | 139 |
Primary sclerosing cholangitis | 781 | craftmd_381 | A 32-year-old man comes to the physician for a follow-up examination. He has a 2-month history of increasing generalized fatigue and severe pruritus. He has hypertension and ulcerative colitis which was diagnosed via colonoscopy 5 years ago. Current medications include lisinopril and rectal mesalamine. He is sexually a... | Which of the following is the most likely diagnosis?" | C0566602 | K83.01 | T047 | Disease or Syndrome | 32 Years | M | 143 |
Bronchiectasis | 788 | craftmd_388 | A 65-year-old man is brought to the emergency department after coughing up copious amounts of blood-tinged sputum at his nursing home. He recently had an upper respiratory tract infection that was treated with antibiotics. He has a long-standing history of productive cough that has worsened since he had a stroke 3 year... | Which of the following is the most likely diagnosis? | C0006267 | J47.9 | T047 | Disease or Syndrome | 65 Years | M | 148 |
Congenital toxoplasmosis | 791 | craftmd_391 | A 2-day old male newborn delivered vaginally at 36 weeks to a 29-year-old woman, gravida 3, para 2, has generalized convulsions lasting 2 minutes. Previous to the event, he had difficulty feeding and was lethargic. Pregnancy and delivery were uncomplicated. Apgar scores were 7 and 8 at 1 and 5 minutes, respectively. Pr... | Which of the following is the most likely diagnosis? | C0040560 | P37.1 | T047 | Disease or Syndrome | 29 Years | M | 149 |
Narcissistic personality disorder | 802 | craftmd_402 | A 60-year-old man is brought to the emergency department after a fall. He has been seen by the triage nurse but has not been evaluated by a physician. He is heard yelling down the hallway, requesting to speak to “whoever is in charge.” He refuses to talk to the emergency resident and insists on talking to the attending... | Which of the following is the most likely diagnosis? | C0027402 | F60.81 | T048 | Mental or Behavioral Dysfunction | 60 Years | M | 156 |
Gambling disorder | 809 | craftmd_409 | A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious. His wife says that he has seemed sad and irritable for the past 4 months. He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing bets on footb... | Which of the following is the most likely diagnosis? | C0030662 | F63.0 | T048 | Mental or Behavioral Dysfunction | 48 Years | M | 161 |
Eczema herpeticum | 810 | craftmd_410 | A 12-year-old boy is brought to the physician because of fever, malaise, and a painful, itchy rash on the right shoulder for 2 weeks. The patient's mother says the boy's condition has worsened over the past 4 days. He has a history of atopic dermatitis. He has lived with his mother at several public shelters since she ... | Which of the following is the most likely diagnosis? | C0936250 | B00.0 | T047 | Disease or Syndrome | 12 Years | M | 162 |
Transient global amnesia | 816 | craftmd_416 | A 60-year-old woman is brought to the emergency department because of altered mental status for 2 hours. She and her husband were at the grocery store when she suddenly could not remember why she was there or how she got there. She has not had any head trauma. She has a history of depression and migraines. She does not... | Which of the following is the most likely diagnosis? | C0338591 | G45.4 | T048 | Mental or Behavioral Dysfunction | 60 Years | F | 167 |
Bipolar II disorder | 819 | craftmd_419 | A 19-year-old woman is brought to the physician by her parents because of irritable mood that started 5 days ago. Since then, she has been staying up late at night working on a secret project. She is energetic despite sleeping less than 4 hours per day. Her parents report that she seems easily distracted. She is usuall... | Which of the following is the most likely diagnosis? | C0236788 | F31.81 | T048 | Mental or Behavioral Dysfunction | 19 Years | F | 169 |
Brown-Sequard syndrome | 823 | craftmd_423 | A 20-year-old man is brought to the emergency department 20 minutes after he sustained a stab wound to his back during an altercation. He reports weakness and numbness of the lower extremities. He has no history of serious illness. On arrival, he is alert and cooperative. His pulse is 90/min, and blood pressure is 100/... | Which of the following is the most likely diagnosis? | C0242644 | G83.81 | T047 | Disease or Syndrome | 20 Years | M | 171 |
Pemphigus vulgaris | 826 | craftmd_426 | A 50-year-old woman comes to the physician because of blisters on her forearm that appeared 3 days ago. She also reports pain in her left cheek when eating and pain during sexual intercourse for the past week. She has not been sick for the past 6 months. She has started hiking in the woods on the weekends with her son ... | Which of the following is the most likely diagnosis? | C0030809 | L10.0 | T047 | Disease or Syndrome | 50 Years | F | 174 |
Seborrheic keratosis | 827 | craftmd_427 | A 68-year-old man comes to the physician because of a 3-month history of a painless skin lesion on his neck. The lesion has gradually become darker in color. Sometimes it is itchy. He also noticed one similar lesion on his lower back. He is a retired gardener. He has smoked half a pack of cigarettes daily for 40 years.... | Which of the following is the most likely diagnosis? | C0022603 | L82 | T191 | Neoplastic Process | 68 Years | M | 175 |
Prepatellar bursitis | 829 | craftmd_429 | A 37-year-old man comes to the physician because of increasing swelling and pain of his right knee for the past month. He has not had any trauma to the knee or previous problems with his joints. He has hypertension. His only medication is hydrochlorothiazide. He works as a carpet installer. He drinks two to three beers... | Which of the following is the most likely diagnosis? | C0851258 | M70.40 | T047 | Disease or Syndrome | 37 Years | M | 177 |
Presbycusis | 832 | craftmd_432 | A 78-year-old man comes to the physician for evaluation of progressive hearing loss in both ears over the past year. He has difficulties understanding conversations in crowded places and when more than one person talks at the same time. He has no dizziness, ear discharge, ringing noise, or ear pain. He has a history of... | Which of the following is the most likely diagnosis? | C0033074 | H91.10 | T046 | Pathologic Function | 78 Years | M | 178 |
Thrombotic thrombocytopenic purpura | 834 | craftmd_434 | A 49-year-old woman is brought to the emergency department by her daughter because of increasing arthralgia, headache, and somnolence for the past week. She has a history of systemic lupus erythematosus without vital organ involvement. She last received low-dose glucocorticoids 2 months ago. Her temperature is 38.6 °C ... | Which of the following is the most likely diagnosis?" | C0034155 | M31.19 | T047 | Disease or Syndrome | 49 Years | F | 179 |
Carcinoid syndrome | 840 | craftmd_440 | A 70-year-old man comes to the physician because of episodes of watery stools for the past 6 weeks. During this period, he has also had recurrent episodes of reddening of the face, neck, and chest that last up to 30 minutes, especially following alcohol consumption. He has hypertension. He smoked one pack of cigarettes... | Which of the following is the most likely diagnosis in this patient? | C0024586 | E34.0 | T047 | Disease or Syndrome | 70 Years | M | 183 |
Waldenstrom macroglobulinemia | 845 | craftmd_445 | A 65-year-old man comes to the physician because of a 6-month history of muscle weakness. During this period, the patient has had low energy, intermittent nosebleeds, and a 5-kg (11-lb) weight loss. He also reports progressive hearing and vision problems. He has a history of pins-and-needles sensation, numbness, and pa... | Which of the following is the most likely diagnosis?" | C0024419 | C88.0 | T191 | Neoplastic Process | 65 Years | M | 188 |
Seborrheic dermatitis | 846 | craftmd_446 | A 3-month-old boy is brought to the physician by his parents for the evaluation of a rash on his scalp and forehead. The parents report that the rash has been present for several weeks. They state that the rash is sometimes red and scaly, especially when it is cold. The patient was born at 36 weeks' gestation and has g... | Which of the following is the most likely diagnosis? | C0036508 | L21.9 | T047 | Disease or Syndrome | 3 Months | M | 189 |
Paracoccidioidomycosis | 848 | craftmd_448 | A 32-year-old man comes to the physician because of a 1-week history of fever, weakness, diffuse abdominal pain, and multiple lumps on his body. He has recently returned to the USA from a 3-month agricultural internship in South America. Physical examination shows enlarged superficial cervical and inguinal lymph nodes.... | Which of the following is the most likely diagnosis? | C0030409 | B41.9 | T047 | Disease or Syndrome | 32 Years | M | 190 |
Amebiasis | 849 | craftmd_449 | A 36-year-old man is brought to the emergency department for right upper quadrant abdominal pain that began 3 days ago. The pain is nonradiating and has no alleviating or exacerbating factors. He denies any nausea or vomiting. He immigrated from Mexico 6 months ago and currently works at a pet shop. He has been healthy... | Which of the following is the most likely diagnosis?" | C0002438 | A06.9 | T047 | Disease or Syndrome | 36 Years | M | 191 |
Spondylolisthesis | 855 | craftmd_455 | A 14-year-old boy is brought to the physician for the evaluation of back pain for the past six months. The pain is worse with exercise and when reclining. He attends high school and is on the swim team. He also states that he lifts weights on a regular basis. He has not had any trauma to the back or any previous proble... | Which of the following is the most likely diagnosis? | C0038016 | M43.10 | T047 | Disease or Syndrome | 14 Years | M | 197 |
Amyotrophic lateral sclerosis | 857 | craftmd_457 | A 54-year-old man comes to the physician for the evaluation of difficulty swallowing of both solids and liquids for 1 month. During the past 5 months, he has also had increased weakness of his hands and legs. He sails regularly and is unable to hold the ropes as tightly as before. Ten years ago, he was involved in a mo... | Which of the following is the most likely diagnosis? | C0002736 | G12.21 | T047 | Disease or Syndrome | 54 Years | M | 198 |
Molluscum contagiosum | 864 | craftmd_464 | A previously healthy 2-year-old girl is brought to the physician by her mother after she noticed multiple painless, nonpruritic papules on her abdomen. The child attends daycare three times per week, and this past week one child was reported to have similar lesions. Her immunizations are up-to-date. Her brother had chi... | Which of the following is the most likely diagnosis? | C0026393 | B08.1 | T047 | Disease or Syndrome | 2 Years | F | 202 |
Vitreous hemorrhage | 867 | craftmd_467 | A 63-year-old woman comes to the emergency department because of a 1-day history of progressive blurring and darkening of her vision in the right eye. Upon waking up in the morning, she suddenly started seeing multiple dark streaks. She has migraines and type 2 diabetes mellitus diagnosed at her last health maintenance... | Which of the following is the most likely diagnosis? | C0042909 | H43.10 | T046 | Pathologic Function | 63 Years | F | 205 |
Placenta accreta | 870 | craftmd_470 | A 37-year-old woman, gravida 4, para 3, at 35 weeks' gestation is admitted to the hospital in active labor. She has had no prenatal care. Her three children were delivered by lower segment transverse cesarean section. The patient appears in acute distress. Her pulse is 98/min, respirations are 15/min, and blood pressur... | Which of the following is the most likely diagnosis? | C0032044 | O43.21 | T046 | Pathologic Function | 37 Years | F | 206 |
Schizophreniform disorder | 879 | craftmd_479 | A 23-year-old man is brought to the emergency department by his girlfriend because of acute agitation and bizarre behavior. The girlfriend reports that, over the past 3 months, the patient has become withdrawn and stopped pursuing hobbies that he used to enjoy. One month ago, he lost his job because he stopped going to... | Which of the following is the most likely diagnosis? | C0036358 | F20.81 | T048 | Mental or Behavioral Dysfunction | 23 Years | M | 213 |
Emphysema | 883 | craftmd_483 | A 62-year-old woman with hypertension and type 2 diabetes mellitus comes to the physician because of increasing shortness of breath and a dry cough over the past 6 months. She has smoked 1 pack of cigarettes daily for the past 40 years. Chest auscultation shows scattered expiratory wheezes in both lung fields. Spiromet... | Which of the following is the most likely diagnosis? | C0034067 | J43.9 | T047 | Disease or Syndrome | 62 Years | F | 215 |
Nightmare disorder | 894 | craftmd_494 | An 8-year-old girl is brought to the physician by her parents because of difficulty sleeping. One to two times per week for the past 2 months, she has woken up frightened in the middle of the night, yelling and crying. She has not seemed confused after waking up, and she is consolable and able to fall back asleep in he... | Which of the following is the most likely diagnosis? | C3887605 | F51.5 | T048 | Mental or Behavioral Dysfunction | 8 Years | F | 225 |
Marfan syndrome | 895 | craftmd_495 | A 19-year-old female college student comes to the physician for a sudden loss of visual acuity of her right eye. She noticed that she was unable to read the time on the alarm clock when she woke up in the morning. When she closes her right eye, she is able to see sharply. When she closes her left eye, she has blurry do... | Which of the following is the most likely diagnosis in this patient? | C0024796 | Q87.40 | T047 | Disease or Syndrome | 19 Years | F | 226 |
Asthma | 901 | craftmd_501 | A 59-year-old woman comes to the physician because of a 1-month history of episodic cough and shortness of breath. The cough is nonproductive and worsens when she climbs stairs and during the night. She has not had chest pain or palpitations. Eight weeks ago, she had fever, sore throat, and nasal congestion. She has a ... | Which of the following is the most likely diagnosis? | C0004096 | J45.90 | T047 | Disease or Syndrome | 59 Years | F | 229 |
Diffuse large B-cell lymphoma | 907 | craftmd_507 | A 67-year-old woman comes to the physician because of a 3-week history of fatigue and worsening back and abdominal pain. During this period, she has also had excessive night sweats and a 4.6-kg (10-lb) weight loss. She has had swelling of the neck for 3 days. She does not smoke or drink alcohol. Vital signs are within ... | Which of the following is the most likely diagnosis?" | C0079744 | C83.3 | T191 | Neoplastic Process | 67 Years | F | 235 |
Central retinal artery occlusion | 908 | craftmd_508 | A 62-year-old woman is brought to the emergency department because of sudden loss of vision in her right eye that occurred 50 minutes ago. She does not have eye pain. She had several episodes of loss of vision in the past, but her vision improved following treatment with glucocorticoids. She has coronary artery disease... | Which of the following is the most likely diagnosis? | C0007688 | H34.1 | T047 | Disease or Syndrome | 62 Years | F | 236 |
Dissociative amnesia with dissociative fugue | 909 | craftmd_509 | A 28-year-old woman is brought to the emergency department after being found in a confused state on an interstate rest area in Florida. She is unable to recall her name, address, or any other information regarding her person. She denies being the woman on a Connecticut driver's license found in her wallet. A telephone ... | Which of the following is the most likely diagnosis? | C4237105 | F44.1 | T048 | Mental or Behavioral Dysfunction | 28 Years | F | 237 |
Selective mutism | 921 | craftmd_521 | A 7-year-old girl is brought to the physician by her mother because she has been increasingly reluctant to speak at school over the past 4 months. Her teachers complain that she does not answer their questions and it is affecting her academic performance. She was born at 35 weeks' gestation and pregnancy was complicate... | Which of the following is the most likely diagnosis? | C0236818 | F94.0 | T048 | Mental or Behavioral Dysfunction | 7 Years | F | 243 |
Creutzfeldt-Jakob disease | 922 | craftmd_522 | A 57-year-old man is brought to the physician for worsening mental status over the past 2 months. His wife reports he was initially experiencing lapses in memory and over the past 3 weeks he has begun having difficulties performing activities of daily living. Yesterday, he became lost heading to the post office down th... | Which of the following is the most likely diagnosis? | C0022336 | A81.00 | T047 | Disease or Syndrome | 57 Years | M | 244 |
Progressive multifocal leukoencephalopathy | 930 | craftmd_530 | A 44-year-old man is brought to the emergency department by his daughter for a 1-week history of right leg weakness, unsteady gait, and multiple falls. During the past 6 months, he has become more forgetful and has sometimes lost his way along familiar routes. He has been having difficulties operating simple kitchen ap... | Which of the following is the most likely diagnosis?" | C0023524 | A81.2 | T047 | Disease or Syndrome | 44 Years | M | 250 |
Pyoderma gangrenosum | 931 | craftmd_531 | A 54-year-old woman comes to the physician because of a painful skin lesion on her right leg for 1 month. It initially started out as a small red spot but has rapidly increased in size during this period. She remembers an ant bite on her leg prior to the lesion occurring. She was treated for anterior uveitis 8 months a... | Which of the following is the most likely diagnosis? | C0085652 | L88 | T047 | Disease or Syndrome | 54 Years | F | 251 |
Stress fracture | 933 | craftmd_533 | A 26-year-old woman comes to the physician because of increasing pain and swelling in her right foot for the past 2 weeks. Initially, the pain was intermittent but it is now constant and she describes it as 8 out of 10 in intensity. She has not had any trauma to the foot or any previous problems with her joints. The pa... | Which of the following is the most likely diagnosis? | C0016664 | M84.3 | T037 | Injury or Poisoning | 26 Years | F | 253 |
Schizotypal personality disorder | 941 | craftmd_541 | A 19-year-old man is brought to the physician by his mother because she is worried about his strange behavior. Over the past 3 years, he has been dressing all in black and wears a long black coat, even in the summer. The mother reports that her son has always had difficulties fitting in. He does not have any friends an... | Which of the following is the most likely diagnosis? | C1443045 | F21 | T048 | Mental or Behavioral Dysfunction | 19 Years | M | 260 |
Otosclerosis | 946 | craftmd_546 | A 28-year-old woman comes to the physician because of a 1-year history of intermittent buzzing in both her ears. She says she sometimes has episodes of mild dizziness which resolve spontaneously. She has a 15-year history of type 1 diabetes mellitus and episodes of low back pain. She does not smoke or drink alcohol. Cu... | Which of the following is the most likely diagnosis? | C0029899 | H80.90 | T047 | Disease or Syndrome | 28 Years | F | 264 |
Autism spectrum disorder | 952 | craftmd_552 | A 5-year-old girl is brought to the physician because her mother has found her to be inattentive at home and has received multiple complaints from her teachers at school. She does not complete her assignments and does not listen to her teachers' instructions. She refuses to talk to her parents or peers. Her mother says... | Which of the following is the most likely diagnosis? | C1510586 | F84.0 | T048 | Mental or Behavioral Dysfunction | 5 Years | F | 269 |
Frontotemporal dementia | 961 | craftmd_561 | A 55-year-old man is brought to the physician because of inappropriate behavior for the past 6 months. He has been making inappropriate comments and jokes while talking to friends and family members. He was arrested 3 weeks ago while trying to kiss strangers on the street. He has no interest in talking to his daughter ... | Which of the following is the most likely diagnosis? | C0338451 | G31.0 | T047 | Disease or Syndrome | 55 Years | M | 275 |
Chancroid | 962 | craftmd_562 | A 21-year-old woman comes to the physician because of multiple painful, purulent ulcers she noticed on her vulva 2 days ago. The patient has not had fever or burning with urination. She has no history of similar lesions. She had a chlamydial infection at 17 years of age that was treated with antibiotics. Her immunizati... | Which of the following is the most likely diagnosis? | C0007947 | A57 | T047 | Disease or Syndrome | 21 Years | F | 276 |
Staphylococcal scalded skin syndrome | 967 | craftmd_567 | A previously healthy 4-year-old boy is brought to the physician because of blisters and redness on his neck and chest for 2 days. He has also had a fever. He is lethargic and has not eaten well since the rash appeared. He has not had coughing, wheezing, or dysuria. He is an only child and there is no family history of ... | Which of the following is the most likely diagnosis?" | C0038165 | L00 | T047 | Disease or Syndrome | 4 Years | M | 280 |
Oppositional defiant disorder | 974 | craftmd_574 | A 16-year-old female high school student is brought to the physician by her parents for her repeated behavioral problems at home and school during the past 10 months. Her teachers describe her behavior as uncooperative and disruptive as she persistently refuses to answer questions, insults her teachers, and annoys her ... | Which of the following is the most likely diagnosis in this patient? | C0029121 | F91.3 | T048 | Mental or Behavioral Dysfunction | 16 Years | F | 285 |
Bullous impetigo | 977 | craftmd_577 | A 3-year-old boy is brought to the physician because of a 3-day history of a pruritic skin rash on his chest. His mother says that he has no history of dermatological problems. He was born at term and has been healthy except for recurrent episodes of otitis media. His immunizations are up-to-date. He appears pale. His ... | Which of the following is the most likely diagnosis? | C0021100 | L01.03 | T047 | Disease or Syndrome | 3 Years | M | 287 |
Thrombotic thrombocytopenic purpura | 978 | craftmd_578 | A previously healthy 35-year-old primigravid woman at 12 weeks' gestation comes to the physician because of a fever, persistent headache, nausea, and abdominal discomfort for 1 week. During this time, she has also noticed that her gums bleed while brushing her teeth. A month ago, she returned from a camping trip to Sri... | Which of the following is the most likely diagnosis?" | C0034155 | M31.19 | T047 | Disease or Syndrome | 35 Years | F | 288 |
Schizophrenia | 980 | craftmd_580 | A 23-year-old man is brought to the emergency department by his mother because of a change in his personality. The mother reports that over the past 7 months her son has become increasingly withdrawn; he has not answered any phone calls or visited his family and friends. He had always been a quiet boy, who needed some ... | Which of the following is the most likely diagnosis? | C0036341 | F20.9 | T048 | Mental or Behavioral Dysfunction | 23 Years | M | 289 |
Biliary cyst | 990 | craftmd_590 | A previously healthy 2-year-old girl is brought to the physician because of a 1-week history of yellow discoloration of her skin, loss of appetite, and 3 episodes of vomiting. Her parents also report darkening of her urine and light stools. During the last 2 days, the girl has been scratching her abdomen and arms and h... | Which of the following is the most likely diagnosis?" | C0400990 | K83.5 | T020 | Acquired Abnormality | 2 Years | F | 296 |
Tardive dyskinesia | 996 | craftmd_596 | A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago. She has a 2-year history of schizophrenia that has been controlled with fluphenazine. Two weeks ago, she was switched to risperidone. Examination shows protrusion ... | Which of the following is the most likely diagnosis? | C0686347 | G24.01 | T047 | Disease or Syndrome | 47 Years | F | 301 |
Cyclothymic disorder | 999 | craftmd_599 | A 33-year-old woman is brought to the physician by her husband because of persistent sadness for the past 2 months. During this period, she also has had difficulty sleeping and an increased appetite. She had similar episodes that occurred 2 years ago and 9 months ago that each lasted for 4 months. Between these episode... | Which of the following is the most likely diagnosis? | C0010598 | F34.0 | T048 | Mental or Behavioral Dysfunction | 33 Years | F | 303 |
Histrionic personality disorder | 1,000 | craftmd_600 | A 19-year-old woman comes to the physician because of a 2-day history of difficulty sleeping. She worries that the lack of sleep will ruin her career prospects as a model. She has been coming to the physician multiple times over the past year for minor problems. She is dressed very extravagantly and flirts with the rec... | Which of the following is the most likely diagnosis? | C0019681 | F60.4 | T048 | Mental or Behavioral Dysfunction | 19 Years | F | 304 |
Dependent personality disorder | 1,004 | craftmd_604 | A 28-year-old woman is brought to a counselor by her father after he found out that she is being physically abused by her husband. The father reports that she refuses to end the relationship with her husband despite the physical abuse. She says that she feels uneasy when her husband is not around. She adds, “I'm worrie... | Which of the following is the most likely diagnosis? | C0011548 | F60.7 | T048 | Mental or Behavioral Dysfunction | 28 Years | F | 306 |
Roseola infantum | 1,010 | craftmd_610 | A 15-month-old girl is brought to the physician because of the sudden appearance of a rash on her trunk that started 6 hours ago and subsequently spread to her extremities. Four days ago, she was taken to the emergency department because of a high fever and vomiting. She was treated with acetaminophen and discharged th... | Which of the following is the most likely diagnosis? | C0015231 | B08.20 | T047 | Disease or Syndrome | 15 Months | F | 310 |
Necrotizing enterocolitis | 1,013 | craftmd_613 | A 24-day-old infant girl is brought to the emergency department because of a 2-hour history of fever, vomiting, and diarrhea. She has fed less and has had decreased urine output for 1 day. She was born at 33 weeks' gestation and weighed 1400-g (3-lb 1-oz). Her diet consists of breast milk and cow milk protein-based for... | Which of the following is the most likely diagnosis? | C0520459 | K55.30 | T047 | Disease or Syndrome | 33 Weeks | F | 312 |
Autism spectrum disorder | 1,015 | craftmd_615 | A 5-year-old girl is brought to the physician by her parents because of difficulty at school. She does not listen to her teachers or complete assignments as requested. She does not play or interact with her peers. The girl also ignores her parents. Throughout the visit, she draws circles repeatedly and avoids eye conta... | Which of the following is the most likely diagnosis? | C1510586 | F84.0 | T048 | Mental or Behavioral Dysfunction | 5 Years | F | 314 |
Beta thalassemia minor | 1,018 | craftmd_618 | A 19-year-old woman comes to the physician because of a 1-month history of mild fatigue and weakness. Physical examination shows no abnormalities. Her hemoglobin concentration is 11 g/dL and mean corpuscular volume is 74 μm3. Hemoglobin electrophoresis shows 10% HbA2 (normal < 3.5%). Which of the following is the most ... | Which of the following is the most likely diagnosis? | C0869532 | D56.3 | T047 | Disease or Syndrome | 19 Years | F | 315 |
Thyroglossal cyst | 1,020 | craftmd_620 | A 4-year-old girl is brought to the physician for a painless lump on her neck. She has no history of serious illness and her vital signs are within normal limits. On examination, there is a firm, 2-cm swelling at the midline just below the level of the hyoid bone. The mass moves cranially when she is asked to protrude ... | Which of the following is the most likely diagnosis? | C0040124 | Q89.2 | T019 | Congenital Abnormality | 4 Years | F | 316 |
Agoraphobia | 1,025 | craftmd_625 | A 24-year-old woman comes to the physician because of a 1-year history of intermittent episodes of shortness of breath, chest tightness, palpitation, dizziness, sweaty hands, and a feeling of impending doom. She says that her symptoms occur when she goes for a walk or waits in line for coffee. She reports that she no l... | Which of the following is the most likely diagnosis? | C0001818 | F40.00 | T048 | Mental or Behavioral Dysfunction | 24 Years | F | 321 |
Paroxysmal atrial fibrillation | 1,026 | craftmd_626 | A previously healthy 28-year-old man comes to the emergency department because of dizziness and palpitations for 2 days. Prior to the onset of the symptoms, he attended a bachelor party where he lost several drinking games. An ECG is shown. Which of the following is the most likely diagnosis? | Which of the following is the most likely diagnosis? | C0235480 | I48.0 | T047 | Disease or Syndrome | 28 Years | M | 322 |
Central retinal artery occlusion | 1,031 | craftmd_631 | A 60-year-old woman is brought to the emergency department because of sudden, painless loss of vision in her right eye that occurred 30 minutes ago while watching TV. She has coronary artery disease, hypertension, and type 2 diabetes mellitus; she has had trouble adhering to her medication regimen. Her blood pressure i... | Which of the following is the most likely diagnosis? | C0007688 | H34.1 | T047 | Disease or Syndrome | 60 Years | F | 326 |
Actinic keratosis | 1,032 | craftmd_632 | A 66-year-old man comes to the physician with a 4-month history of recurrent crusty lesions on the dorsal surface of his hands. When he scrapes off the crusts, they reappear after a few days. The lesions are mildly pruritic and occasionally burn. He works as a landscaper. A photograph of his right hand is shown. Which ... | Which of the following is the most likely diagnosis? | C0022602 | L57.0 | T191 | Neoplastic Process | 66 Years | M | 327 |
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