27-year-old woman comes to an outpatient urgent care facility because of 3 days of joint pain. She reports significant pain in her wrists, ankles, and knees. She also has had a low-grade fever, fatigue, and a new skin rash. The patient does not have a headache, throat pain, abdominal pain, dysuria, vaginal discharge, or vision changes. She has otherwise been healthy and she takes no medications. She recently began a new sexual relationship with a male partner. The patient has an intrauterine device and does not use condoms. One month ago, she traveled to Connecticut for a camping trip with her parents. She drinks alcoholic beverages socially; she does not smoke or use illicit drugs. Temperature is 38.3°C (101°F), pulse is 96/min, and blood pressure is 127/80 mm Hg. Examination shows a clear oropharynx and no cervical or axillary lymphadenopathy. The abdomen is nontender and there is no hepatosplenomegaly. Upper extremity examination discloses pain along the tendon sheaths during passive and active movement of the hands. Lower extremity examination shows a total of six well-demarcated pustular lesions. Which of the following is the most likely diagnosis?A. BlastomycosisB. Gonococcal infectionC. Lyme diseaseD. Reactive arthritisE. Secondary syphilisProceed 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 17-year-old female is referred to the ED by her primary physician; she presents with a 3-day history of fevers, dysuria, and vomiting. She has not had vaginal discharge, abdominal pain, or diarrhea. She is sexually active with her partner. Vital signs are as follows: Temperature 103°F, RR 20, BP 98/65, pulse 100. She appears ill and is unable to tolerate liquids, but she is alert and oriented. Her examination is positive for suprapubic as well as costovertebral angle tenderness bilaterally. Urinalysis reveals numerous WBCs and bacteria, and it is positive for WBC casts and leukocyte esterase. Other laboratory study results are within normal limits, including a negative urine pregnancy test. What is the likely diagnosis?Ask StudybuddyGroup of answer choicesNephrolithiasisPyelonephritisAppendicitisAcute interstitial nephritisEctopic pregnancy

A 23-year-old woman comes to the emergency room complaining of low abdominal pain and a fever. As she walks into the examination room, she is slightly stooped over and says that even walking is painful. She indicates that intercourse has been painful for the past week and evidence of purulent vaginal discharge is noted during a pelvic exam. What is the most likely diagnosis?

The 48 years old women was sent to the emergency with signs and symptoms: headache, seizures and fever. CT scan showed no changes in her brain. Lumbar puncture showedincreased pressure, increased protein and decreased glucose. Your diagnosis is:

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