A 47-year old man comes to the emergency department with fever, headache, photophobia, and a stiff neck.
What is the next best step in the management of this patient?

A 28-year-old female presents with 1-week history of jaundice and 2days history of altered sleep pattern and moods. She was diagnosed with hypothyroidism for which she is receiving thyroxine. Thyroid function showed increased TSH. PT=70s.
What is the most probable diagnosis?

A 74-year-old woman is referred to osteoporosis clinic for advice on management of osteoporosis. She has a history of hiatus hernia, hypertension, hypercholesterolemia, chronic kidney disease stage 4 and COPD. She has recently been found to have osteoporosis after a Colles' fracture. She is taking calcitriol, and other medication for her comorbidities.
Based on the information above, which would be the most appropriate agent for treatment of her osteoporosis?

A 27-year-old, generally healthy woman comes to the office with burning on urination. There are 50 white cells on the urinalysis.
What is the next best step in management?

A 42-year-old obese woman with 5 children presents with a "gnawing" pain that recently has become severe. She notes the pain right after she finishes a meal and states that it radiates to her right shoulder. Physical exam reveals a cessation of inspiration upon palpation of the right upper quadrant and rebound tenderness. Laboratory analysis shows white cell count of 15,000 and a left shift.
What is the most likely diagnosis?