A 17 yr old male with history of Juvenile Idiopathic Arthritis, currently maintained on infliximab as his maintenance therapy, presents with a 3- week history of cough (non-productive), shortness of breath. The patient denies fevers but endorses night sweats. He lives on farm property in Southeastern Ohio, where he tends for goats,  pigs, chickens, cows, and horses. He underwent a CT scan and BAL  with (634 WBC, 23 RBC) and organisms seen on GMS stain. What is the most likely cause of his symptoms? 

A toddler presents to the ER after he ingested an unknown substance from his grandmothers purse. Which of the following consumed item are we MOST concerned with due to its potential lethal effect?

You are evaluating a 13 year old female for Graves’ disease. Which of the following findings would NOT support this diagnosis?

Which of the following ECHO findings is NOT associated with a  patient diagnosed with Multi-system inflammatory syndrome in children (MIS-C) associated with COVID 19?

You are managing, Flynn Rider, a 19 yo male on your service. He has had fevers and  night sweats for the past week. On exam you note enlarged cervical lymph nodes. He has a history of mononucleosis (EBV). What finding on exam would be MOST concerning?

A 2 yr old female presents to urgent care with acute bruising over multiple body surfaces including arms, legs, and trunk. Faint petechiae are noted. A CBC is obtained with findings below. What is the NEXT BEST action?  

The ultrasound images demonstrate (pink arrow)?

The ultrasound images demonstrate ?

The turtle ultrasound sign or hamburger ultrasound sign indicates?

In the balanced reaction below, 115 g of Al reaction with 220 g Fe2O3, calculate the mass of Al2O3 2Al(s) + Fe2O3(aq)