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A 30-year-old woman, married plus 2 children, presents to the emergency room on the 28 th week of her 3 rd pregnancy with abdominal pain, nausea, and vomiting.
Which of the following supports the diagnosis of acute appendicitis?
80 year old man who is clear minded and functional under goes evaluation for depression , past medical history is positive for ischemic heart disease with PTCA and stent insertion to right coronary artery last year. Endocardiography demonstrate moderate decrease in left ventricle function.
Lab : T3 1.1 ( 3,1 – 6,8) T4 0.6 ( 12-22) TSH 54 ( 0.27 – 4.2)
What is the most appopriate managment ?
A diagnostic cardiac catherization reveals the following:
2 year old has been brought to the ER due to diarrhea and fever over the last day, the parents say he is drinking well. Examination is significant for impaired consciousness, pallor, and malaise. His BP 60/40 and HR 160. Lab results: glucose 40 mg/dl, sodium 125 meq/l, potassium 7meq/l.
Which of the following is the most likely cause?
A 3 years old girl came home from kindergarten refusing to step on her left leg. Her examination is normal except her inability to bear weight on her left leg. Her x-ray is attached
Which of the following is the most likely the diagnosis?
An 8 month old infant has recurrent events of apnea and cyanosis that appear after crying and resolves spontaneously within 30 seconds with full recovery.
Physical neurological and developmental exams are normal. Which of the following is the appropriate approach to this condition?
A 6 year old boy is examined due to difficulty in concentrating and in school his history including pregnancy, delivery and development is normal, as is his physical and neurological examination.
Which of the following is recommended as first step?
76 years old male with a past history of prostatectomy, past medical history is positive for hypertension, hyperlipidemia, diabetes mellitus admitted due to abdominal pain and melena. Now after 2 weeks of admission at the surgery department he screams and mumbles in the last 3 nights claiming that demons haunt him and try to kill him. He is in extreme restlessness. During the morning he talks excellent and does not remember what happened at night.
What is the recommended treatment?