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Total Body Weakness After an All Night Bender

A 38-year-old man with hypertension and depression presented with total body weakness after drinking heavily the night before. His blood pressure was 158/94 mm Hg. Medications included hydrochlorothiazide and fluoxetine, but he had not been taking either drug recently.

To what Dx does his ECG point?
 

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A 62-year-old man has moderate to severe leg pain after playing 36 holes of golf. The pain originates from the lumbar spine and radiates into his lower extremities. What is the best course of treatment?

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A 56-year-old woman presents with persistent pain and tenderness in both hands. A workup reveals she has erosive osteoarthritis. Which factors are most strongly associated with increased pain?

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This relatively uncommon inflammatory dermal process has previously been associated with diabetes mellitus and more recently with hyperlipidemia.

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