A 16-year-old patient with a history of asthma presents with a respiratory rate of 28 breaths per minute, heart rate of 110 beats per minute, and fatigue. The patient appears anxious, diaphoretic, and cyanotic. She is retracting her sternocleidomastoid muscles in an effort to breathe. Which of the following is the least appropriate management step? […]
A 21-year-old cisgender man has a return visit to the sexual health clinic with urethral discomfort and purulent discharge. Six days prior, he was diagnosed with urethral gonorrhea and received appropriate treatment. He states his symptoms have not improved, and he denies sexual contact with anyone since receiving treatment for gonorrhea. A diagnosis of antimicrobial-resistant […]
A 33-year-old cisgender man who has recently emigrated from South Africa is referred to a dermatology clinic with a complaint of sores in his genital region that did not respond to empiric treatment for genital herpes and syphilis. He denies having lymphadenopathy. On physical examination of the anogenital region, which one of the following findings […]
A 31-year-old cisgender woman from India who is visiting friends in the United States presents to a local sexual health clinic for evaluation of a red, painless ulcer on her vulva. In the clinic, she receives empiric treatment for syphilis and herpes simplex virus (HSV) infections. Ten days after the initial visit, she returns to […]
A 22-year-old man with three male sex partners in the past 6 months presents to the emergency department with symptoms of acute hepatitis and is confirmed to have hepatitis A virus (HAV) infection. He does not drink alcohol and has no previous history of liver disease. He acknowledges having condomless anal and oral sex with […]
A 36-year-old man with two male sex partners in the past 6 weeks presents to the emergency department with symptoms of fever, malaise, anorexia, and jaundice. Laboratory studies subsequently confirm a diagnosis of acute hepatitis A virus (HAV) infection. Which one of the following best describes the time frame when a person with HAV infection […]