A 25-year-old, 220-kg female presents to the emergency department with three hours of acute-onset right lower quadrant pain. She describes the pain as mild and reports persistent nausea and vomiting. There is moderate diffuse tenderness on exam. Laboratory studies reveal a white blood cell count of 17,000 and a negative urine hCG. She is too heavy to fit onto the CT table. Which of the following diagnostic tests would be most helpful in finding the cause of this patient’s abdominal pain?Question 5Select one:a.Diagnostic laparotomyb.Abdominal plain filmc.Diagnostic laparoscopyd.Diagnostic peritoneal lavagee.Abdominal ultrasound

A 28-year-old woman presents to her physician complaining of abdominal pain. A urinalysis shows 8 RBCs with no WBCs or protein, and no dysmorphic cells or casts. She is eventually diagnosed with gastroenteritis and is sent home. A urine culture comes back negative several days later. What should be done next in the workup of this patient with hematuria?Ask StudybuddyGroup of answer choicesCystoscopyCT scan of the abdomen and pelvisRepeat urinalysis in a few daysTransvaginal ultrasoundReassurance

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?

A 22-year-old man comes to the office because of a 4-month history of intermittent right upper quadrant pain. He has otherwise been healthy. He does not smoke, drink alcoholic beverages, or use illicit drugs. He takes no medications. His mother underwent splenectomy several years ago, but he does not know the reason. The patient is a firearms instructor and also works at a gun store. Vital signs are within normal limits. Examination shows a soft and nontender abdomen. The spleen tip is palpated 2 cm below the left costal margin. Bowel sounds are normal throughout. Complete blood count shows a hemoglobin concentration of 9.9 g/dL, mean corpuscular hemoglobin concentration of 48 pg/cell, and mean corpuscular volume of 90 μm3. A peripheral blood smear is shown.The result of a direct antiglobulin (Coombs) test is negative. Which of the following is the most likely underlying cause of this patient's symptoms?A. Formation of pigment gallstonesB. Hepatic vein thrombosisC. Intermittent vasospasmD. Lead toxicityE. Recurrent microvascular occlusion

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. cirrhosis B. appendicitis C. cholecystitis D. Xerostomia

A 21-year-old female from Southeast Asia has been staying with family members in the United States for the last 3 months presents to the emergency department of a local hospital. She reports feeling very tired for the last month, has a poor appetite, and has lost weight. The patient has been feeling somewhat better lately except for a cough that produces a greenish sputum, sometimes specked with blood. With the exception of rales in the left upper lobe, the physical examination is unremarkable and she does not seem to be acutely ill. Laboratory values show a white blood count of 12,000/μL and a hematocrit of 33%. Chest x-ray film reveals an infiltrate in the left upper lobe with a possible cavity. A Gram-stained smear of the sputum shows mixed flora with no dominance. An acid-fast stain reveals many thin rods of pinkish hue. A preliminary diagnosis is made of pulmonary tuberculosis. Sputum is sent to the laboratory for culture. Which drug regimen should be initiated in this patient when treatment is started?Group of answer choicesAmikacin, isoniazid, pyrazinamide, streptomycinCiprofloxacin, isoniazid, linezolid, pretomanidIsoniazid, moxifloxacin, pyrazinamide , rifapentinePyrazinamide, isoniazid, rifampin, streptomycinPyridoxine, pyrazinamide, rifabutin, streptomycin