Pt traveled to Costa Rica where they hiked all day and hung out with the locals eating unrefrigerated foods and drinking alongside a river.  Pt now with severe all over abdominal cramping, nausea, vomiting, diarrhea, muscle aches, and a slightly elevated temperature.  The most likely diagnosis is:Group of answer choicesgastroenteritispancreatitischolecystitisdiverticulitis

Pt with a history of alcohol abuse presents with severe abdominal pain.  Looks like their blood sugar and insulin levels are all over the place.  The most likely diagnosis is:Group of answer choicespancreatitischolecystitisdiverticulitisgastroenteritis

19 yo pt with no past medical history presents with acute onset of R lower quadrant pain and a fever.  Your thoughts immediately go to:Group of answer choicesdiverticulitischolecystitisgastroenteritisappendicitis

A 45-year-old Caucasian man is referred for further workup of chronic abdominal pain and diarrhea. These symptoms have been present for 2 months, and he has lost 10 kg of weight over this time. He also reports that he has developed pain in multiple joints that comes and goes and seems to spread from one joint to the next. He denies fevers, chills, chest pain, shortness of breath, vomiting, episodes of constipation, or hematochezia. He is married and works as a farmer, with no recent sick contacts or travel. His vitals are within normal limits, and his examination is unremarkable. A complete laboratory workup is unremarkable. He undergoes a colonoscopy, which is normal, and then undergoes an upper endoscopy. Biopsy of the small intestine shows many macrophages within the lamina propria that stain positive with periodic acid-Schiff (PAS). Which of the following is likely to cure this patient of his chronic diarrhea?Ask StudybuddyGroup of answer choicesCorticosteroidsAntibioticsRadioiodineDietary changesAntiretrovirals

A 32-year-old man complains of fever, diarrhea, and abdominal pain. He has had intermittent fevers for the past month, with episodes of bloody diarrhea. The abdominal pain started 2 weeks ago, and since that time he has had fewer episodes of diarrhea. He denies any jaundice, pale stools, or IV drug use. The patient emigrated from Mexico 6 months ago, and has been living with his extended family in Arizona. On examination, there is hepatomegaly with tenderness to palpation over the liver. An abdominal ultrasound reveals a well-defined hypoechoic mass. What is the most likely pathogen responsible for this patient's symptoms?Ask StudybuddyGroup of answer choicesCandida albicansSalmonella typhiCoccidioides immitisKlebsiella pneumoniaeEscherichia coliCampylobacter jejuniDiphyllobothrium latumEntamoeba histolytica

A 45-year-old man comes to the emergency department due to a 1-day history of constant upper abdominal pain, nausea, and several episodes of vomiting.  The pain is partially relieved by sitting up or bending forward.  He has also had mild shortness of breath.  The patient's other medical history includes hyperlipidemia and hypertension.  He uses tobacco and alcohol.  There is a family history of coronary artery disease and hypertension.  Temperature is 38.1 C (100.6 F), blood pressure is 110/70 mm Hg, pulse is 114/min, and respirations are 22/min.  There is dullness to percussion and decreased breath sounds at the left lung base.  Abdominal examination shows epigastric tenderness.  Laboratory results are as follows:Hematocrit 44%Leukocytes 16,000/mm3Calcium 7.8 mg/dLGlucose 250 mg/dLWhich of the following plays a principal role in initial management of this patient's current condition? A.Antiplatelet agents B.Broad-spectrum antibiotics C.Calcium gluconate D.Exploratory laparotomy E.Insulin infusion F.Isotonic crystalloids G.Proton pump inhibitors