STEMI
Rheumatic fever
A 9-year-old girl is brought to the emergency department due to sudden onset of uncontrollable, continuous writhing of the arms and hands and grimacing of the face. A month ago, she had a sore throat and fever that resolved after a few days without treatment. The girl and her family recently returned to the United States after living in Honduras for a year. The patient takes no daily medications and her vaccinations are current.
Vital signs are normal. On examination, the patient has multiple dental caries, and the oropharynx is nonerythematous and without exudate or tonsillar enlargement. Cardiac examination reveals a pericardial friction rub. Laboratory studies show an erythrocyte sedimentation rate of 65 mm/h.
ECG shows a prolonged PR interval and diffuse ST elevations.
Question: Infection with which of the following organisms is the most likely cause of this patient's symptoms?
A. Coxsackievirus
B. Cytomegalovirus
C. Parvovirus B19
D. Streptococcus mutans
E. Streptococcus pyogenes
F. Trypanosoma cruzi
Vital signs are normal. On examination, the patient has multiple dental caries, and the oropharynx is nonerythematous and without exudate or tonsillar enlargement. Cardiac examination reveals a pericardial friction rub. Laboratory studies show an erythrocyte sedimentation rate of 65 mm/h.
ECG shows a prolonged PR interval and diffuse ST elevations.
Question: Infection with which of the following organisms is the most likely cause of this patient's symptoms?
A. Coxsackievirus
B. Cytomegalovirus
C. Parvovirus B19
D. Streptococcus mutans
E. Streptococcus pyogenes
F. Trypanosoma cruzi
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من الآن سيتم إرسال مع كل ملخص حول الموضوع أسئلة USMLE step 2 علمود تكون اكثر منفعة وفائدة
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STEMI
Chronic diarheaa
An 8-year-old boy is brought to the clinic due to 10 days of profuse diarrhea and abdominal cramps. His stools are foul-smelling and appear nonbloody and oily; volume and frequency have been persistent. The patient tolerates liquids but has had minimal solid food due to lack of appetite.
Prior to these symptoms, he was well except for an episode of acute otitis media for which he completed a course of amoxicillin last month. The patient recently returned a few weeks ago from a vacation at his family's lake house. Weight is 30.4 kg (67 lb), a decrease of 2.3 kg (5 lb) from his annual checkup 3 months ago. He is afebrile. Abdominal examination reveals hyperactive bowel sounds but is otherwise normal, as is the remainder of the examination. Complete blood count is normal, and stool guaiac testing is negative.
Prior to these symptoms, he was well except for an episode of acute otitis media for which he completed a course of amoxicillin last month. The patient recently returned a few weeks ago from a vacation at his family's lake house. Weight is 30.4 kg (67 lb), a decrease of 2.3 kg (5 lb) from his annual checkup 3 months ago. He is afebrile. Abdominal examination reveals hyperactive bowel sounds but is otherwise normal, as is the remainder of the examination. Complete blood count is normal, and stool guaiac testing is negative.
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STEMI
An 8-year-old boy is brought to the clinic due to 10 days of profuse diarrhea and abdominal cramps. His stools are foul-smelling and appear nonbloody and oily; volume and frequency have been persistent. The patient tolerates liquids but has had minimal solid…
This patient's diarrhea is most likely due to which of the following mechanisms?
Anonymous Quiz
35%
Enterotoxin activity
23%
Local epithelial disruption
6%
Mucosal erosion
16%
Pancreatic insufficiency
19%
Transmural inflammation
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شباب المستقبل ، الطب يُدرس بطريقة انه كل معلومة تمر على الطبيب ممكن تنقذ حياة مريض وممكن تنهي حياة مريض ، فممكن استهانتك بمعلومة تؤدي بيك الى خطأ لا يُحمد عقباه مستقبلا ، وضروري المعلومات تبقى في بالك
زين شلون اخليها تبقى في بالي ؟
من خلال الدراسة بطريقة الكيسات الحقيقية او الافتراضية (مثل هذا اللي بالاعلى)
لان كل مريض يمر هو بمثابة معلومة ، والمعلومة تثبت من تكون بطريقة وكأنما قصة كاملة
برأيكم ما الافضل الدراسة بطريقة الكيسات ام الملزمة ؟
زين شلون اخليها تبقى في بالي ؟
من خلال الدراسة بطريقة الكيسات الحقيقية او الافتراضية (مثل هذا اللي بالاعلى)
لان كل مريض يمر هو بمثابة معلومة ، والمعلومة تثبت من تكون بطريقة وكأنما قصة كاملة
برأيكم ما الافضل الدراسة بطريقة الكيسات ام الملزمة ؟
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