0071598626.pdf

180.A 50-year-old man presents to the ED complaining of fever, sore throat, and neck pain for 24 hours. He states that 1 week ag ...

182.A 42-year-old diabetic man presents to the ED with 3 days of rapidly worsening scrotal and perineal pain. His HR is 115 beat ...

184.A 19-year-old woman presents with bilateral lower-abdominal pain, fever, nausea, vomiting, and general malaise. Her last men ...

186.A 51-year-old diabetic man complains of intense right-ear pain and discharge. On physical examination, his BP is 145/65 mm H ...

188.A 22-year-old man presents to the ED with a 3-day history of rash, fever, malaise, and mouth sores. He has been unable to ea ...

189.A 54-year-old man with a history of hepatitis C, alcohol abuse, and cirrhotic ascites presents with increasing abdominal gir ...

Fever Answers 167.The answer is c.(Rosen, pp 620-621.)Spinal abscessesare most commonly found in immunocompromised patients, IV ...

Fever Answers 191 with potential sepsis in the ED, early broad-spectrum antibiotics, and a rapid crystalloid fluid bolus, follow ...

(a)Vasopressor therapy should not be started until the patient receives at least normal saline fluid boluses to achieve a CVP be ...

begins as a simple abscess or benign infection that quickly spreads, espe- cially in an immunocompromised patient, often a diabe ...

in septic arthritis, but neither is diagnostic. (e)A warm, swollen, painful knee is concerning for osteomyelitis, which may caus ...

profound hypotension, desquamation,and multisystem involvement (including vomiting or diarrhea, severe myalgias, mucus membrane ...

diplococcus. Fever, headache, arthralgias, altered mental status, and abnor- mal vitals may also be found, along with neck stiff ...

S aureusis the leading cause of osteomyelitis, followed by Streptococcus.In neonates, group B Streptococcusis a common infecting ...

suddenly occur. Signs of impending airway compromise include stridor, tachypnea, dyspnea, drooling, and agitation. The upper air ...

unilateral, they must be distinguished from early herpes zoster infection, especially if vesicles are present. (d)Erysipelas wit ...

Since his rapid antigen test was negative, the patient should receive a throat cultureand be treated only if the results are pos ...

immediately. There is debate on whether these patients should be managed surgically with incision and drainage or medically with ...

debridement, and hospital admission are also recommended. (d)Urologic consultation may be necessary when a periurethral abscess ...

abscess (TOA), a common and potentially fatal complication of pelvic inflammatory disease (PID). While PID can usually be treate ...