Patient selection for minimally invasive approachesDownloads

A 28-year-old man is brought to the emergency department with shortness of breath and chest pain, 35 minutes after he was involved in a high-speed motor vehicle collision. He was the helmeted driver of a scooter hit by a truck. On arrival, he is alert and oriented with a Glasgow Coma Scale rating of 14. His temperature is 37.3°C (99.1°F), pulse is 103/min, respirations are 33/min and blood pressure is 132/88 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 94%. Examination shows multiple abrasions over his abdomen and extremities. There is a 2.5-cm (1-in) laceration on the left side of the chest. There are decreased breath sounds over the left base. Cardiac examination shows no abnormalities. The abdomen is soft and there is tenderness to palpation over the left upper quadrant. Bowel sounds are normal. His hemoglobin concentration is 13.6 g/dL, leukocyte count is 9,110/mm3, and platelet count is 190,000/mm3. A chest x-ray is shown. Which of the following is the most likely diagnosis?

A 62-year-old man comes to the physician in May for a routine health maintenance examination. He feels well. He underwent a right inguinal hernia repair 6 months ago. He has hypertension and type 2 diabetes mellitus. There is no family history of serious illness. Current medications include metformin, sitagliptin, enalapril, and metoprolol. He received the zoster vaccine 1 year ago. He received the PPSV23 vaccine 4 years ago. His last colonoscopy was 7 years ago and was normal. He smoked a pack of cigarettes a day for 20 years but quit 17 years ago. He drinks two to three alcoholic beverages on weekends. He is allergic to amoxicillin. He is scheduled to visit Australia and New Zealand in 2 weeks to celebrate his 25th wedding anniversary. He appears healthy. Vital signs are within normal limits. An S4 is heard at the apex. The remainder of the examination shows no abnormalities. Which of the following is the most appropriate recommendation at this time?