Symptoms consistent with BPPV include all of the below except:

A 28 year old male presents for evaluation of severe left testicular pain and swelling that developed over the past two days. Vital signs are unremarkable.  On exam, his left testicle is tender with normal lie.  His right testicle is unremarkable.  The scrotum is painful and edematous. Urinalysis shows 57 WBC/hpf and 14 RBC/hpf. Which of the following is the most likely diagnosis?

When evaluating a patient for morning headaches, your work up should include:

Your patient has asked for recommendations for complementary medications for migraine prevention.  Combinations of complementary medications include:

A 26 year-old, moderately obese, Caucasian female that is two month post-partum presents to the clinic with a concerns of heartburn, flatulence, and anorexia. During her pregnancy she had experienced similar symptoms, but they have become more severe in the last week and she vomited twice. She has intermittent pain in the epigastric and right upper quadrant area. She also thinks she pulled a shoulder muscle as she has an almost constant dull ache there.  Which would be the most helpful diagnostic test at this point to support your primary differential diagnosis?

Which stage of development is this sea star in?

These are two sea star eggs. Which one is FERTILIZED?

A 14 year old patient presents to the primary care clinic with middle abdominal pain, nausea, one episode of vomiting prior to arrival, and decreased appetite. He denies fever or chills but felt “warm” before bed. Last bowel movement was yesterday and normal per patient. Upon physical exam you note active bowel sounds in all quadrants, McBurney’s point tenderness, and generally ill appearing. Based on your exam findings and history, what is the most likely diagnosis?

A 64 year-old woman presents to the urgent care clinic with a 3-day history of intermittent left-lower quadrant (LLQ) abdominal pain accompanied by fever, cramping, nausea, and 4-5 loose stools per day.  PE: abdomen soft, + bowel sounds, tenderness to LLQ w/abdominal palpation without rebound tenderness. Laboratory evaluation reveal leukocytosis with neutrophilia.  What is the most likely diagnosis?

Your patient presents with mild to moderate LLQ abdominal pain that he describes as a steady, consistent achy pain. He has a low grade fever and his CBC shows a WBC of 13,000. He is tolerating oral fluids and no evidence for hemodynamic instability or significant comorbidity. He has a family history of diverticulitis and you suspect, based on your physical exam and excellent history taking skills, that he has a self-limiting case of diverticulitis. You decide the best treatment would be which of the following: