A 24-year-old female with no significant PMH presents to the Emergency Department for chest pain that began approximately 1 hour ago. She denies any trauma to the chest and describes the pain as a “pressure-like” sensation affecting the middle of the chest. She has no medical history and takes oral contraceptive pills. A few hours ago she attended a party where she was smoking crack cocaine and subsequently developed this chest pain. BP 176/104 mmHg, HR 108/min, and RR 18/min with pulse ox of 99% on room air. Chest auscultation is unremarkable. An electrocardiogram is obtained (see image below).  Based on these findings, what is the diagnosis for this patient?       

A 65-year-old female is admitted to the ER with a 3-hour history of cyanosis, shortness of breath, and substernal chest pain.  She had been discharged 5 days earlier after having a total hip replacement due to severe osteoarthritis.  The hip surgery was uneventful.  On examination, the patient is in obvious acute respiratory distress.  Her respiratory rate is 40/min and her breathing is labored.  The patient’s room air oxygen saturation level is 86%.  Her blood pressure is 100/70 mm Hg.  Cyanosis is present.  Cardiac examination reveals increased pulmonic component of the second heart sound (S2).  Abnormal lung sounds, including rales and wheezes, are present bilaterally.  Based on the information provided, which of the following tests will be the preferred intervention to establish the diagnosis?

A 32-year-old male presents with a 3-day history of fever with chills and severe weakness.  There are no other complaints.  The patient has a history of unprotected sex with multiple previous partners.  He also reports a history of travel to South America and consumption of food from street vendors while working there one month ago.  He admits to intravenous drug abuse.  The patient denies a history of previous blood transfusion.  Abdominal exam reveals mild hepatomegaly.  Routine laboratory tests are ordered, including CBC, CMP, HIV, and Hepatitis serology panel.  Liver enzymes are elevated and Hepatitis C virus antibody test is positive.  Testing for Hepatitis A and Hepatitis B is negative.  How did this patient most likely acquire Hepatitis C infection?

Patient is a 26-year-old female with no significant PMH who presents to Internal Medicine office with recent onset of sore throat, fever, and malaise that developed 7 days ago. She complains of severe throat pain, more pronounced on the right, and right ear pain. She reports severe pain with swallowing and states that for the past day, she has been unable to open her mouth widely. Patient is noted to have muffled (“hot potato”) voice.On physical exam she is breathing comfortably. Her vital signs are temperature, T: 102.2°F; HR 102/min; BP 110/70 mm Hg; and RR 15/min.  Examination of the oropharynx revealed a markedly enlarged right tonsil with associated swelling of the soft palate uvular deviation to the left. The right tympanic membrane is clear, with good light reflex and no bulging. There is tender anterior cervical lymph nodes bilaterally. The lung exam was normal and no stridor was noted.  Throat culture is obtained.  What is the most likely bacterial pathogen isolated from the oropharyngeal culture performed by the provider?

A 42-year-old male with chronic complaints of heartburn and regurgitation, presents for follow up after undergoing upper endoscopy which revealed Barrett’s esophagus.  Which of the following is the most serious potential medical complication in this patient?

List the 4 consumer rights.  Consumers have a right to….

List the 4 reasons to be involved in international trade.

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When you decide whether or not the data supports the original hypothesis, you are 

What is the kinetic energy of an Peregrine falcon as it dives for its prey?  The mass of a female adult Peregrine falcon is 1.5 kg and she can dive at a speed of 107 m/s.