You are taking care of a patient who has hemolytic uremic sy…

You are taking care of a patient who has hemolytic uremic syndrome (HUS) as a result of an E. coli infection. In addition to anemia, hyperuricemia, and acute renal failure, the patient has profound thrombocytopenia, with a platelet count of 22,000. What is the major cause of this patient’s thrombocytopenia?

You are caring for a 14 year old with history of obesity and…

You are caring for a 14 year old with history of obesity and obstructive sleep apnea, admitted for treatment of osteomyelitis. You are preparing for placement of a PICC line for administration of long-term antibiotic therapy. Which sedation plan is most appropriate for this patient? 

A 17-year-old girl comes to the office because she has had f…

A 17-year-old girl comes to the office because she has had fever, chills, fatigue, and loss of appetite for the past two weeks. The patient also says that she has some lumps on the side of her neck. She is concerned she might have infectious mononucleosis. Temperature is 38.6°C (101.4°F), pulse rate is 82/min, and respirations are 18/min. Physical examination shows firm, nontender adenopathy along the left anterior cervical chain. There is no tonsillar enlargement or exudate. Cardiovascular, pulmonary, and abdominal examinations show no abnormalities. Which of the following is the most appropriate next step?