A 48-year-old diabetic patient presents with a history of complete right eye painless vision loss for the past 4 days. He cannot visualize light or dark on exam and is completely blind. Ocular ultrasound reveals a “funnel retina” with a floating tissue attached at both ends against the posterior aspect of the globe. What is the most appropriate management at this time?

A 45-year-old female with no past medical history presents to the emergency department with chief complaint of subjective fever, nasal drainage, and facial pressure. The symptoms have lasted 7 days. Vital signs are HR 85, RR 18, BP 140/90, O2 sat 99%, and T 98.6F (37C). Physical exam reveals a well-appearing female with nasal discharge but is otherwise unremarkable. Pain is worse when leaning forward. Which of the following is the most appropriate management for this patient's condition?

An 18-year-old male patient presents with sore throat, tonsillar exudates, and cough. He is afebrile and without anterior cervical lymphadenopathy. What is the patient’s Centor criteria score and would you treat with antibiotics?

A 45-year-old male with a history of diabetes presents to the ER with mouth pain. He reports three days of progressive atraumatic swelling as well as purulent discharge from below his tongue.  Vital signs are: HR 80, RR 18, BP 145/90, O2 98%, T 98.6F (37C).  Physical exam is shown. Which of the following is the most appropriate next step in management of this patient's condition?

A 55-year-old male with a history of diabetes presents to the ER with a chief complaint of ear pain and headache.  Vital signs are: HR 105, RR 18, BP 155/90, T 100.4F (38C).  Physical exam reveals extreme tenderness of the external ear as well as granulation tissue and discharge when trying to visualize the tympanic membrane.  Which of the following is definitive treatment of this patient's condition?

A 55-year old male with a history of squamous cell carcinoma of the larynx with a tracheostomy placed 2 weeks ago presents to the ER with an episode of bleeding from his tracheostomy tube. He notes that approximately 50 cc's of bright red blood came out of his trachea but that the bleeding has since resolved. Vital signs and physical exam are unremarkable. Which of the following is the most appropriate next step in management?

A 48-year-old man with no previous medical history presents with dizziness and hearing loss. He reports recurrent episodes of dizziness with ringing in one ear, with severe nausea and vomiting, and feels that his hearing has decreased over time. Which of the following statement is TRUE regarding this condition?

A 44-year-old female is presents to the emergency department for fever and progressive shortness of breath over the past 3 days. Physical exam reveals an ill appearing patient with stridor at rest who is sitting up and leaning forward in the gurney while drooling heavily. X-ray is shown. What is the most likely cause of this patient’s presentation?

A 56-year-old woman presents to the emergency department with dizziness for the past two days. She says she first noticed feeling dizzy on awakening this morning, and she has some associated nausea. The patient has no tinnitus and has not had any recent upper respiratory tract infections. Medical history includes hypertension for which she takes lisinopril. Physical examination shows a left-beating horizontal nystagmus on extraocular muscle testing. Cranial nerves are intact with the exception of mild left-sided sensorineural hearing loss. She has a steady gait without truncal ataxia. Head impulse testing and test of skew are consistent with a peripheral etiology. Which of the following will confirm the likely diagnosis?