![]() Key idea: Typically neutrophils make up ~65-70% of total WBCs, and we would expect that percentage to be even higher in the setting of an acute infection.Young woman with multiple medication exposures presenting with signs of infection found to have neutropenia, most consistent with agranulocytosis due to methimazole.UTI would have suprapubic tenderness and would have an abnormal urinalysis (positive leukocyte esterase, positive nitrite, increased WBCs)Ĥ) A 25-year-old woman is admitted to the hospital because of a 2-day history of fever, dizziness, light-headedness….Key idea: Patient is not having loss of urine, and therefore all of the incontinence answers must be incorrect.Elderly woman with many vaginal deliveries presenting with inability to void that resolves with catheterization and with physical exam most consistent with pelvic organ prolapse.Determination of serum ACE activity –> Sarcoidosis –> Wide array of symptoms, but often will have respiratory symptoms, skin symptoms and bilateral hilar adenopathyģ) An 87-year-old woman, gravida 6, para 6, is brought to the emergency department because of a 24-hour history of severe….Serum antiglomerular basement membrane assay –> Goodpasture syndrome –> Hemoptysis and hematuria often in a young man (no neurologic symptoms). ![]() Key idea: In the setting of adult-onset asthma, important mimickers to consider include Churg-Strauss and allergic bronchopulmonary aspergillosis (often intermittent flares of respiratory symptoms in patient with cystic fibrosis and/or asthma). ![]()
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