A 12-year-old female presents to the Emergency Department fo…

A 12-year-old female presents to the Emergency Department for evaluation of cough. Her mother reports that the child has had rhinorrhea and cough for almost three weeks. The cough seems to be getting worse and often wakes the patient up from sleep. The cough is so forceful that the patient has also had several episodes of post-tussive emesis. The patient’s mother has been treating the patient with oral antihistamines for presumed allergies, and an albuterol inhaler borrowed from the patient’s older brother. The patient has not been seen by a pediatrician for several years and her mother is unsure of the child’s vaccination history. The patient’s temperature is 98.8°F, BP 96/71 mmHg, HR 90/min, and RR 14/min. On physical exam, the patient appears well. Her lungs are clear to auscultation bilaterally.  Which of the following interventions is the most appropriate next step in the management of this patient?

A 34-year-old female with no significant past medical histor…

A 34-year-old female with no significant past medical history has been referred to a pulmonologist by her primary care provider, with a 2-month history of progressive dyspnea. She notes associated low-grade fever, malaise, joint pain, and swollen neck glands. She denies a history of travel, cigarette smoking, or recreational drug use. All other reviews of systems are negative. Her physical exam reveals tender nodular formations on her anterior lower extremities, hepatosplenomegaly, and cervical lymphadenopathy. Her vital signs were normal, and examination of the heart and lungs was unremarkable.  Diagnostic testing revealed leukopenia, increased ESR, hypercalcemia, hypercalciuria, elevations of serum ACE    levels, and bilateral hilar adenopathy.  Which of the following conditions is the most likely diagnosis for this patient?