Tag Archive: and fever


A 14-year-old boy has sickle cell disease. He presents to the emergency room with the complaints of increased jaundice, abdominal pain, nausea, vomiting, and fever. His examination is remarkable for jaundice, pain of the right upper quadrant with guarding, and a clear chest. Chest radiographs appear normal. Which of the following tests is most likely to reveal the cause of this pain?

a. Serum chemistries

b. Complete blood count with platelets and differential

c. Ultrasound of the right upper quadrant

d. Upper GI series

e. Tracheoesophageal fistula

the answer is below…

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A 38-year-old man who is immunocompromised because of HIV presents with 1 month of worsening right headache, ear pain, and fever. He is determined to have malignant external otitis and osteomyelitis of the base of the skull. The etiology is fungal. Fungal malignant external otitis and osteomyelitis of the base of the skull in HIV patients is most commonly caused by which of the following?

a. Nocardia

b. Cryptococcus neoformans

c. Actinomyces

d. Aspergillus

e. Candida

the answer is below…

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