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Is the following noun singular or plural? תּוֹרוֹת

Define: דֶּ֫רֶךְ

Define the word אַחֵר

דָּם

רוּחַ

A 14-year-old boy reports a 2-month history of low back pain with no known trauma. The pain is worse with activity and relieved by rest, although he does report difficulty with prolonged sitting in school. He reports no history of radicular pain and denies any numbness, tingling, or weakness in his legs. On exam, he has slight tenderness to palpation over the lower back, 5 out of 5 strength in the lower extremities, and a negative straight leg raise test. The lumbar spine demonstrates full range of motion but he reports pain with back extension. Initial AP and lateral radiographs of the spine are negative. Which of the following should be ordered next to determine the patient’s diagnosis?

A 32-year-old man presents with a cough productive of sandy sputum, malaise, and intermittent fever. He was seen 4 weeks ago for the same cough and completed a course of oral antibiotics without notable improvement. He has no significant past medical history, does not take any medication, does not smoke, and works as a farmer in the Ohio River Valley. Vital signs and physical examination are unremarkable. A chest x-ray shows bilateral, enlarged, calcified hilar and mediastinal lymphadenopathy. What is the most likely diagnosis?

A 3-year-old previously healthy female is brought to your office by her mother. The mother reports the child has been crying and pulling at her right ear over the past 2 days, and reports the patient has been febrile the past 24 hours. The patient’s past medical history is unremarkable, although the mother reports the patient had a “common cold” a week ago which resolved without intervention. Her temperature is 101.6 deg F (38.7 deg C), blood pressure is 100/70 mmHg, pulse is 120/min, and respirations are 22/min. Otoscopic exam is performed (see image). What is the most likely diagnosis?

A 68-year-old male patient with PMH significant for HTN, stroke, vascular dementia, and atrial fibrillation, presents with a two-month history of generalized weakness and dizziness.  His symptoms began gradually, and have been progressing over the past few weeks, now affecting his ability to perform activities of daily living.  The patient reports an estimated unintentional weight loss of 20 pounds over the past two months, and his appetite has diminished.  The patient denies any fever, night sweats, headache, cough, hemoptysis, or dyspnea.  He denies abdominal pain, change in bowel habits, nausea, vomiting, or urinary symptoms.  Six weeks prior, the patient was initially evaluated in the ER and received IV fluids and electrolyte supplements for dehydration.  Physical examination reveals patchy hyperpigmentation of the elbows, knees, neck, and palmar creases.   Based on this information, which of the following conditions is the most likely diagnosis for this patient?  

A 70-year-old woman is brought to the emergency department by ambulance. She was found on the floor of her apartment after her neighbor called 911. She is confused and is unable to provide any history, but complains of generalized pain. Her temperature is 99.2°F (37.3°C), blood pressure is 129/64 mmHg, pulse is 63/min, respirations are 13/min, and oxygen saturation is 99% on room air. Physical exam reveals, a confused, ill-appearing woman. Lungs are clear to auscultation bilaterally. An electrocardiogram is obtained (see image). Dipstick urinalysis is notable for 4+ blood and dark colored urine. Which of the following is the most appropriate next step in management?