A 38 year old male from Ohio presented to his physician with…

A 38 year old male from Ohio presented to his physician with a mild influenza-like illness that included a headache and malaise. A chest X-ray showed no infiltrates. His past medical history was unremarkable.  He had no history of travel but reported recently cleaning the bell tower at his church, which was littered with bird excrement (feces).  The most likely agent causing his disease is (M60-17, 21; Level 3):

A physician inquires about repeated sputum specimens that ar…

A physician inquires about repeated sputum specimens that are reported to contain only normal oropharyngeal flora.  The patient is a 67 yr old man who smokes and has a persistent cough, malaise, and a fever of 102°C.  Treatment with routine antimicrobials has not been effective.  The most recent direct Gram’s stain of sputum shows 3+ PMNs and rare epithelial cells.  A likely etiologic agent is (M35-1, 2, 3; Level 3):

The patient is afraid to have a double mastectomy tomorrow m…

The patient is afraid to have a double mastectomy tomorrow morning. The nurse sits with the patient and asks about the fears. During the evening shift, the nurse stays with the patient and allows them to use this space for what the patient needs. What is the nurse displaying?

A 4-year-old boy attended day care 3 days per week. He was i…

A 4-year-old boy attended day care 3 days per week. He was irritable and his parents noticed that he had persistent perianal itching. A sticky paddle was pressed against the perianal region and sent to the laboratory for testing. The eggs observed would most likely have which one of the following microscopic morphologic features (M50-10, 11; Level 3)?