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13465 Medicine

A 78-year-old woman with a prior stroke is not feeling well. Her appetite is poor, and today her family noticed that she is confused so they send her to the emergency room for an assessment. She reports no cough, fever, or sputum production but her CXR reveals a left lower lobe infiltrate. Blood cultures are drawn, and she is started on antibiotics. The next day the cultures are positive for S pneumoniae sensitive to penicillin. Which of the following is the most likely complication of pneumococcal pneumonia?

Aperitonitis
Bempyema
Cpericarditis
Dendocarditis
Medicine
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13469 Medicine

A 42-year-old man was seen in the clinic because of pain and redness in his finger. Last week he had injured the finger while working in his garage. On physical examination, there is erythema, swelling, and tenderness of the second digit in the right hand. Flexion and extension of the finger were normal. A clinical diagnose of cellulitis is made and he is prescribed cephalexin. A few days later he presents to the emergency room complaining of difficulty breathing. He has angioedema due to a drug reaction to the cephalexin. Which of the following physical findings is characteristic of this syndrome?

Ainvariably severe itching
Bprolonged nature of the edema
Cfluid extravasation from subcutaneous and intradermal postcapillary venules
Dinvolvement of lips, tongue, eyelids, genitalia, and dorsum of hands or feet
Medicine
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