A 55 year old male presents with fever, a stiff neck, and co…

A 55 year old male presents with fever, a stiff neck, and confusion. These symptoms were preceded by “cold-like” symptoms. You suspect meningitis and perform a spinal puncture which reveals the presence of WBCs (mostly mononuclear cells), but normal glucose levels. A family history reveals the patient’s granddaughter who recently visited the patient, had herpangina. A positive viral culture from the CSF confirms your suspicion that the meningitis was caused by:

A young patient arrives in the ER with coughing and shortnes…

A young patient arrives in the ER with coughing and shortness of breath. The patient has a history of chest infections. Upon further testing, you find that pulmonary mucus is thick and sticky, clogging the alveoli and the sweat is salty suggesting a diagnosis of cystic fibrosis. Which of the following best describes cystic fibrosis?

A 68 yo man presents to the UF Health ED with shortness of b…

A 68 yo man presents to the UF Health ED with shortness of breath. It has been slowing progressing over the past year, but has now reached the point where walking up one flight of stairs is problematic. On room air, PaO2 = 52 mm Hg and SpO2 = 83%. Respiratory rate is 28 bpm. Measures of airway resistance are within predicted values, but lung compliance measures are half of the predicted value. Which of the following is the most likely diagnosis?

You are working in the UF Health ED and a 65 yo male is comp…

You are working in the UF Health ED and a 65 yo male is complaining of shortness of breath. He states that he was fine until an hour ago, when he started having difficulty breathing. He tells you that he has been fighting a cold for the last week, but thought he was getting better. His cough has now changed from dry to productive and purulent. He also complains of chest pain when he takes a deep breath. He has a history of diabetes and high blood pressure. On your exam you notice he has tachycardia, tachypnea, and decreased breath sounds in the right lower lobe. You also notice his oxygen saturation is 89% on room air. After starting patient on oxygen therapy, how will you confirm his diagnosis?