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A 35-year-old man comes to the clinic because of low mood, low self-esteem, and poor appetite for the past 4 years. He also has difficulty sleeping, concentrating, and making decisions. He has never had any psychotic symptoms or suicidal thoughts. He has no history of manic or hypomanic episodes. He has tried several antidepressants without significant improvement.

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A 70-year-old man who lives in a group home is brought to the emergency department due to 3 months of persistent cough and anorexia.  The cough occurs mainly in the early morning and is often productive.  He has a history of chronic kidney disease, type 2 diabetes mellitus, and an ischemic stroke that resulted in right-sided residual paralysis.  He has never smoked cigarettes.  Temperature is 38.2 C (100.8 F), blood pressure is 124/80 mm Hg, pulse is 90/min, and respirations are 16/min.  BMI is 22 kg/m2.  Examination shows cervical lymphadenopathy and muscle wasting.  Cardiopulmonary examination shows no abnormalities.  Laboratory results are as follows: Complete blood count Hemoglobin 10 g/dL Leukocytes 7,800/mm3 Neutrophils 70% Lymphocytes 20% Monocytes 10% Serum chemistry Creatinine 2.8 mg/dL Total protein 8 g/dL Albumin 2.8 g/dL Chest x-ray is shown Below.  Tuberculin skin testing is negative. 

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سلام عليكم من يبي يستثمر فلوسه مثلا2000 ﷼SAR ارباح 440﷼ SAR يوميا لمعرفة الطريقة اكثر @Asfhvvbb اتواصل مع المدير التنفيذي

A 26-year-old woman comes to the emergency department due to weakness and numbness in both arms and legs that has progressively worsened over the last 3 days.  The patient has no fevers, headache, dizziness, chest pain, shortness of breath, or abdominal pain.  She reports no trauma or recent procedures.  The patient has no medical conditions and takes no medications.  She does not use tobacco, alcohol, or illicit drugs.  Temperature is 37 C (98.6 F), blood pressure is 130/82 mm Hg, pulse is 88/min, and respirations are 20/min.  On examination, the patient has 4/5 strength in both upper and lower extremities.  Sensation is decreased below the neck.  MRI shows increased T2 signal in the cervical spinal cord without any mass lesions or compression.