A 62 year old male presents to the urgent care clinic with c…

A 62 year old male presents to the urgent care clinic with complaints of worsening nodules to his neck that have now appeared to his face. He states this started a year ago, but has gotten worse. On exam you note he is a white male with fair complected skin. When you ask about medical and social history, he reports he has hypertension and GERD. States he works as a landscaper.  On physical exam you note nodules to the neck that are waxy and pearly in appearance.  You refer the patient to an outpatient dermatology clinic for biopsy, because you are concern for which condition? 

A 66 year old male presents to the urgent care clinic with c…

A 66 year old male presents to the urgent care clinic with complaints of a painful rash. He has a history of hypertension and hypothyroidism, though he reports she is forgets to take her medications often. Denies smoking or drug use. On physical exam you note a bullous eruption type rash under her armpit that continues to his back. He describes the pain as pricking and sharp. Vital signs are stable.  What is the patient’s diagnosis? 

A 55 year old female was admitted to the Neuro ICU secondary…

A 55 year old female was admitted to the Neuro ICU secondary to subarachnoid hemorrhage caused by a cerebral aneurysm. She was intubated upon arrival to the emergency department, then underwent emergency craniotomy with aneurysm clipping. She remains intubated 3 days later secondary to her neuro status. On morning rounds you notice her oxygen saturation has decreased to 90% while on 40% FiO2 on the ventilator. A chest x-ray is ordered and is now showing a right upper and middle lobe pneumonia. Which is the most appropriate antibiotic selection?