46-Year-Old Woman With Type 2 Diabetes Mellitus and ObesityA 46-year-old woman presented to her internist for evaluation of type 2 diabetes mellitus (T2DM) and obesity.
38-Year-Old Woman With Chest PainA 38-year-old woman presented to the emergency department (ED) with abrupt onset left-sided chest pain. She described the pain as intense, sharp, and radiating to her left arm, with associated nausea and diaphoresis. Her medical history was notable for fibromuscular dysplasia of the renal arteries complicated by renovascular hypertension status post angioplasty, posttraumatic stress disorder, and former tobacco use. Her daily home medications included aspirin, hydroxyzine, lisinopril, sertraline, and trazodone.
49-Year-Old Man With Fever, Night Sweats, Palpitations, and Shortness of BreathA 49-year-old man presented to the clinic reporting fever, night sweats, palpitations, and shortness of breath. He had been experiencing symptoms for the past 6 weeks, starting with severe fatigue after a usual 7-mile run, followed by 2 weeks of intermittent fever and 4 weeks of dry cough and night sweats. During this time, he experienced 10-lb weight loss and physical activity was limited by shortness of breath; he was also experiencing intermittent palpitations. At baseline he was able to run up to 15 miles, but experienced substantial loss of exercise tolerance and was no longer able to sustain prolonged running.