A 27-year-old man has recently come back from a bachelor party in Latvia. He is experiencing pain while urinating and a white discharge from the tip of his penis. Additionally, he is suffering from a swollen and painful left knee. During the examination, the doctor observes a white discharge from his penis and an erythematosus, tender, and swollen left knee. The man is also running a fever of 38.1 degrees. What is the most probable diagnosis?
A 28-year-old woman has been diagnosed with HIV and started on antiretroviral medication. She initially responded well to treatment, but now presents with fatigue and abdominal discomfort after 8 months. Upon conducting blood tests, the following results were obtained:
– Haemoglobin: 92 g/L (115-165)
– Urea: 6 mmol/L (2.5-7.5)
– Bilirubin: 3 mg/dL; direct: 0.2 mg/dL (0.3-1.9)
– AST: 39 IU/L (<35)
– ALP: 150 IU/L (44-140)
Which specific antiretroviral drug is this patient currently taking?
A 35-year-old woman who works in a meat processing plant comes to the Emergency department with a skin ulcer that has a black center. She reports that it started as a small itchy bump that turned into an ulcer a few days later.
What is the probable bacterium responsible for her symptoms?
A 35-year-old woman presents to her GP in Manchester with a week long history of an offensive smelling greenish-yellow vaginal discharge with associated vulval itching. She does not complain of lower abdominal pain.
She is unkempt and admits to sleeping on the streets. She refuses your request that she should be seen at the local GUM clinic.
Examination reveals a greenish-yellow discharge but is otherwise unremarkable. For which of the options provided should the patient be treated?
A 47-year-old woman arrives at the Emergency department with weakness in her arms and legs. She had recently attended a BBQ where she consumed canned food. During the examination, you observe weakness in all four limbs, bilateral ptosis, and slurred speech. Her husband reports that she experienced diarrhea the day before and has been constipated today. What is the probable diagnosis?
A 3-year-old patient arrives at the Emergency department complaining of left loin pain, offensive smelling urine, and fever. The child’s temperature is 38.5°C and a clean catch urine test shows positive results for blood, protein, and nitrites. What is the recommended initial antibiotic treatment for this patient?
A 34-year-old male presents to the Emergency department with sudden onset pain in his left calf and inability to bear weight while cycling.
He reports having cystic fibrosis, but it does not hinder his active lifestyle of going to the gym three times a week. The patient was hospitalized nine months ago for a chest infection, which was treated, but he still has residual Pseudomonas colonization that is managed with prophylactic azithromycin and ciprofloxacin. He also takes regular insulin and Creon for pancreatic insufficiency and supplements with Calcichew D3 and alendronic acid. Upon examination and radiography of his left leg, there is no evidence of a bone injury, but there is a palpable gap in the gastrocnemius muscle tendon.
Which medication is likely contributing to this pathology?
A 6-year-old girl arrives at the Emergency department with a complaint of sudden pain in her upper tibia. She has a fever and is unwilling to move her leg. The medical team suspects osteomyelitis. What is the probable causative organism?
A 35-year-old woman who is negative for HBV surface antigens is considering having unprotected sexual intercourse with a man who is positive for HBV.
What should she do in this situation?
Which drugs are classified as protease inhibitors?