A 22-year-old sexually active, otherwise healthy female presents to her primary care physician complaining of several days of dysuria, frequency, urgency, and suprapubic pain. She denies fever, flank pain, vaginal itching, or vaginal bleeding/discharge. Which organism is most likely responsible for this patient's symptoms?
AEscherichia coli
BChlamydia trachomatis
CProteus mirabilis
DStaphylococcus saprophyticus
EKlebsiella pneumoniae
A 62-year-old woman presents to the emergency department with a 2-hour history of sharp chest pain. She says that the pain is worse when she inhales and is relieved by sitting up and leaning forward. Her past medical history is significant for rheumatoid arthritis, myocardial infarction status post coronary artery bypass graft, and radiation for breast cancer 20 years ago. Physical exam reveals a rubbing sound upon cardiac auscultation as well as increased jugular venous distention on inspiration. Pericardiocentesis is performed revealing grossly bloody fluid. Which of the following is most specifically associated with this patient's presentation?
AMyocardial infarction
BMalignancy
CUremia
DRheumatoid arthritis
EViral illness
A 38-year-old woman presents with fever and acute onset chest pain for the past 12 hours. She describes the pain as severe, sharp and stabbing in character, and localized to the retrosternal area. She also says the pain is worse when she breathes deeply or coughs. Past medical history is significant for recently diagnosed systemic lupus erythematosus (SLE). Her vital signs include: blood pressure 110/75 mm Hg, pulse 95/min, and temperature 38.0°C (100.4°F). Physical examination is significant for a friction rub heard best at the lower left sternal border. Which of the following is the most likely diagnosis in this patient?
AAcute myocardial infarction
BSeptic shock
CPericardial tamponade
DConstrictive pericarditis
EAcute pericarditis
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