An 18-year-old male presents to your ED with an abrupt onset…

An 18-year-old male presents to your ED with an abrupt onset of left testis pain associated with nausea and vomiting. He denies any injury or trauma. On physical exam, you note he has an absent cremasteric reflex on the left and scrotal swelling. Which of the following diagnoses is most likely?

You are the AGACNP in the surgical ICU caring for a male pat…

You are the AGACNP in the surgical ICU caring for a male patient who underwent emergent repair of a ruptured abdominal aortic aneurysm over 3 weeks ago. He has had a prolonged and complicated postoperative course, including respiratory failure and delirium. The delirium workup included a urine culture, which was positive for Escherichia coli and treated with a 10-day course of trimethoprim-sulfamethoxazole. The antibiotic course finished 3 days ago. He is now extubated, mentally clear, and making slow but forward progress. You are called by the bedside RN to evaluate a new rash. There is a diffuse erythematous maculopapular rash over his upper anterior chest. His arms, stomach, back, and legs are unaffected. He reports a raw burning sensation over the affected area. You note separation of the skin when applying lateral traction. What is the most likely diagnosis?     

A patient presents to the ED with muscle cramping, myalgia,…

A patient presents to the ED with muscle cramping, myalgia, and tea-colored urine. Further diagnostics confirm rhabdomyolysis. Creatine kinase (CK) peaks at 12,000 U/L. Despite aggressive medical treatment, including volume resuscitation, the patient is oliguric. Potassium is 6.3 mmol/L and lactate 5.0 mmol/L. Which treatment should be considered?

What tectonic setting is at this location? Tip: Recall which…

What tectonic setting is at this location? Tip: Recall which tectonic setting produces the volcano you chose in the previous question, then check the map to see if there are any additional clues (ie. if it is a rhyolitic composite volcano, you would expect it to be near the edge of a continent, indicating there is an ocean-continent convergent boundary)