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Upon inhalation, air leaving the larynx next passes through the

The dome shaped upper portion of the uterus is the

You are asked to evaluate a 42-year-old female patient who has been hospitalized for the past 5 days.  She underwent an abdominal hysterectomy and subsequently developed an infection and small bowel obstruction in the post-operative period.  She is currently receiving broad spectrum IV antibiotics and is NPO (nothing by mouth).  Additional lab test results are as follows: (Normal ranges in parentheses; abnormal results are in bold type) Admission Day #1 PT 11.8 sec (11.0-13.5) PTT 26.0 sec (25.0-35.0) Plt 248,000 (150,000-400,000) Admission Day #5 PT 16.0 sec (↑) PTT 26.0 sec Plt 252,000 Based on this information, which of the following conditions is the most likely diagnosis for this patient?

 A 7-year-old boy is brought to his pediatrician by his mother for recent fatigue and intermittent fevers over the past month. She also reports that her son has appeared much paler recently. Vital signs at today’s visit are within normal limits. Physical examination is significant for pallor, petechiae, lymphadenopathy, and hepatosplenomegaly. A complete blood count reveals anemia, thrombocytopenia, and neutropenia. A peripheral blood smear is shown (see image). Bone marrow aspiration reveals 47% lymphoblasts. Which of the following is associated with this patient’s presenting condition?

A 24-year-old male presents to his primary care physician for evaluation of recurrent fever, night sweats, and weight loss. The patient reports that he has been experiencing these symptoms for the past several weeks. After a complete physical exam and a series of laboratory and diagnostic tests, the patient undergoes an excisional lymph node biopsy (see image). He is determined to have Stage IIB disease. Which of the following clinical findings would be an adverse prognostic factor in this patient?  

A 13-year-old female patient with known sickle cell disease presents to the primary pediatrician’s office with chest pain, tachypnea, and fever. This chest x-ray was obtained (see image). What is the most likely diagnosis?

A 3-year-old boy with no significant PMH presents to his pediatrician with a two-month history of petechial rash and intermittent epistaxis. The parent reports that he has had a cough, rhinorrhea, and has been fussier than normal. No fevers, weight loss, or unusual fatigue were reported. He is tracking along his growth curves and is meeting his developmental milestones appropriately. Initial laboratory test results are as follows: How would you describe the patient’s CBC results in the table above?

A 42-year-old woman presents to the emergency department with complaints of recurrent shortness of breath for the past 2 weeks. She reports shortness of breath whenever she goes on her morning run. The symptoms last for approximately 5-10 minutes and improve with rest. She denies chest pain, syncope, nausea, or abdominal pain during these episodes. Her medical history is significant for rheumatoid arthritis which is treated with hydroxychloroquine. She denies any recent surgeries, oral contraceptive/estrogen use, malignancy, or personal history of deep vein thrombosis (DVT) or pulmonary embolism (PE). She endorses some rhinorrhea and sore throat that has since resolved. Physical examination demonstrates some joint swelling at the proximal interphalangeal joints bilaterally but is otherwise unremarkable. Laboratory studies are shown below:Leukocyte count and differential: 9,800 with normal differentialHemoglobin: 9.8 g/dLPlatelet count: 180,000Mean corpuscular volume (MCV): 83Reticulocyte count: 0.2%Ferritin: 268 ng/mL (Normal: 12-150 ng/mL)Serum iron: 38 mcg/dL (Normal: 60-170 mcg/dL)Total iron binding capacity (TIBC): 240 mcg/dL (Normal: 240-450 mcg/dL) CXR was obtained and reveals clear costophrenic angles and no signs of consolidation or interstitial infiltrate. Cardiac silhouette is clear, and there are no signs of cardiomegaly. What is the most likely explanation for this patient’s symptoms?

You are asked to evaluate a 46-year-old female who presents to the Emergency Department (ED) with complaint of right occipital headache and left upper extremity numbness and weakness for the past four days, accompanied by T: 100.4°F.  The patient denies blurry vision, nausea, vomiting, fever, or chills, and is without other complaints.  Initial lab results are as follows: (Normal ranges in parentheses; abnormal results are in bold type):             WBC 10,000 (4,000-11,000), Hb 8.0g/dL (↓) (11.5-15.5 g/dL), and Platelets 30,000 (↓) (150,000-400,000)             Serum creatinine 1.8 mg/dL (↑) (0.6-1.3 mg/dL), and BUN 24 mg/dL (10-26 mg/dL)             PT and PTT are both normal. Peripheral blood smear: red blood cell fragments and decreased number of platelets Which of the following clinical findings would you expect to find in this patient?    

Match each clinical finding with the correct diagnosis.