A 3-year-old girl is brought to the emergency department by her parents with sudden onset shortness of breath. They tell the emergency physician that their daughter was lying on the bed watching television when she suddenly began gasping for air. They observed a bowl of peanuts lying next to her when they grabbed her up and brought her to the emergency department. Her respirations are 25/min, the pulse is 100/min and the blood pressure is 90/65 mm Hg. The physical findings as of now are apparently normal. She is started on oxygen and is sent in for a chest X-ray. Based on her history and physical exam findings, the cause of her current symptoms would be seen on the X-ray at which of the following sites?
AThe superior segment of the right lower lobe
BThe posterior segment of the right lower lobe
CThe lingula of the left upper lobe
DThe apical segment of the right upper lobe
EThe apical segment of the left upper lobe
A 43-year-old male visits the emergency room around 4 weeks after getting bitten by a bat during a cave diving trip. After cleansing the wound with water, the patient reports that he felt well enough not to seek medical attention immediately following his trip. He does endorse feeling feverish in the past week but a new onset of photophobia and irritability led him to seek help today. What would the post-mortem pathology report show if the patient succumbs to this infection?
AHowell-Jolly bodies
BHeinz bodies
CPsammoma bodies
DPick bodies
ENegri bodies
A 44-year-old woman presents to the emergency department with a headache, vertigo, confusion, and dyspnea. A relevant history cannot be obtained from the patient because she seems confused and gives incoherent responses to questions. Her husband says that she was cleaning the kitchen this morning until the curtains caught on fire earlier this morning from the stove’s flame. Her vitals include: pulse 100/min, respirations 20/min, blood pressure 130/80 mm Hg, oxygen saturation 97% on room air. On physical examination, the patient is oriented x 0. The skin has a bright cherry-red color. Laboratory testing shows: pH 7.35 PaO2 90 mm Hg pCO2 40 mm Hg HCO3- 26 mEq/L SpO2 97% Blood lactate 11 mmol/L Which of the following is the most likely diagnosis in this patient?
ACyanide poisoning
BPolycythemia
CCarbon monoxide poisoning
DHigh altitude
EAnemia
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