A 24-year-old woman presented to the hospital with lower abdominal pain and vomiting. She reported that the symptoms had developed suddenly, approximately 45-min earlier. She had felt well earlier in the day and denied any other symptoms. She had eaten some toast for breakfast and nothing since. She had not experienced any diarrhoea and had no contacts with similar symptoms. Her past medical history included gastro-oesophageal reflux disease and a recent diagnosis of pulmonary tuberculosis, for which she was being treated currently. Her regular medications included: isoniazid, rifampin, pyrazinamide, omeprazole and the combined oral contraceptive pill. She worked as a salesperson and did not smoke, drink alco- hol or take recreational drugs.Examination The patient appeared pale and distressed. Her heart rate was 140 bpm and her blood pressure was 106/74 mmHg. Her abdomen was generally tender, with particularly pain over the right iliac fossa, with guarding present. Results Bloods: WCC 14.2, Hb 10.5, Plt 460, Na 135, K 3.8, Creat 60, CRP 122 Urine dip: positive for leucocytes, and positive for the beta subunit of human chorionic gonadotropin (hCG)  1. What diagnoses should be considered for this young woman presenting with sudden-onset right iliac fossa pain? *1 pointa. Appendicitisb. Ectopic pregnancyc. Ovarian cyst ruptured. Gastrointestinal issues (diverticulitis, inflammatory bowel disease, irritable bowel syndrome)e. Kidney stonesf. Meckel's diverticulitisg. Pelvic inflammatory disease (PID)h. Renal colici. Herniaj. Gynecological issues (ovarian torsion, endometriosis, adnexal pathology)

A 29-year-old woman comes to the office because of a 5-day history of sore throat, fever, and mild lower abdominal pain. Her symptoms have persisted despite treatment with ibuprofen and acetaminophen. She does not have chills, fatigue, rhinorrhea, nasal congestion, cough, nausea, vomiting, diarrhea, constipation, or dysuria. She has no history of serious illness and has no known sick contacts. Vaccinations are up-to-date. The patient drinks alcohol socially and smokes marijuana occasionally. She recently broke up with her boyfriend and has had three new male sexual partners in the past 2 months. She has an intrauterine device; she and her partners do not use condoms consistently. Her temperature is 38.8°C (101.9°F), pulse is 84/min, and blood pressure is 110/78 mm Hg. Oral examination shows pharyngeal erythema without exudates; no ulcerative lesions or petechiae are noted. Nontender cervical lymphadenopathy is present bilaterally. There is no nuchal rigidity. Cardiopulmonary examination discloses no abnormalities. Abdominal examination shows tenderness to palpation of the lower abdomen without rebound or guarding. No hepatosplenomegaly or costovertebral tenderness is present. A urine pregnancy test is negative. Which of the following is the most likely cause of these symptoms?A. Adenovirus infectionB. Gonococcal infectionC. Infectious mononucleosisD. Secondary syphilisE. Streptococcal pharyngitisProceed to Next ItemShow Explanation

A 26-year-old man presents to his primary care physician with fatigue, headache, and a sore throat for the past week. There is also nausea and diarrhea, but no weight loss, productive cough, or difficulty breathing. He has no known past medical history, does not take any medications, and has no recent sick contacts. He is sexually active and uses condoms inconsistently; he drinks alcohol heavily on the weekends and has had previous IV drug use. On examination, his temperature is 39°C and the rest of his vital signs are normal. He has nontender cervical and axillary lymphadenopathy, tonsillar exudates, and mild splenomegaly. There are also several painful, well-demarcated ulcers within his mouth and a mild maculopapular rash over his chest and arms. A rapid Strep test and a monospot (heterophile antibody) test are negative; further screening for chlamydia, gonorrhea, syphilis, and HIV antibody is negative. What is the likely diagnosis?Ask StudybuddyGroup of answer choicesUpper respiratory infectionSecondary syphilisHodgkin lymphomaAcute retroviral syndromeInfectious mononucleosis

A 45-year-old female is brought to the ED complaining of fatigue. The patient has been feeling extremely weak over the past few days. Today she stood up and almost fainted, prompting her visit. She has had cough, rhinorrhea, and nasal congestion for the past week. Today she also began having nausea, vomiting, and severe abdominal pain. Past medical history is significant for hypertension, CKD, and SLE. Home medications are lisinopril, hydroxychloroquine, and prednisone 20 mg daily. Vitals: Temperature 38.5°C, BP 85/55 mm Hg, HR 126. In general, she appears weak and lethargic. Her heart sounds are tachycardic, regular, without murmurs. Her lungs have occasional rhonchi but no wheezing. Her abdomen is diffusely tender throughout without rebound tenderness. Labs: Na 124 mEq/L, K 5.3 mEq/L, Cr 3.0 mg/dL (baseline 1.8). Hgb is 11.1 g/dL. The patient is diagnosed with Influenza A and started on IV fluids. After 2 L of crystalloid fluids her blood pressure is 90/60 mm Hg. What is the most appropriate next step?Ask StudybuddyGroup of answer choicesMRI pituitaryCT adrenal glandsCortisol levelCosyntropin stimulation testIV hydrocortisone

A woman with a history of gallstones complains of pain in the rib cage and constant nausea. What condition is she probably suffering from?

A 39-year-old man with a history of alcoholism presents with 2 days of unrelenting midepigastric abdominal pain that radiates to the back. The patient reports some relief with leaning forward. He has vomited several times and is febrile. The patient reports drinking 10 to 12 beers per day for the last 15 years. Laboratory findings reveal severely elevated amylase and lipase and chest x-ray confirms left pleural effusion and an elevated hemidiaphragm. Which of the following is the best initial treatment for this patient's condition?Ask StudybuddyGroup of answer choicesBroad-spectrum antibioticsSupportive careCorticosteroidsAdministration of pancreatic enzymes and vitamin B12