David, a 45 year-old construction worker presents with symptoms and signs suggestive of suspected genitofemoral nerve injury four weeks following an inguinal hernia repair surgery. What is the most common clinical symptom of genitofemoral nerve injury?
David, a 48 year-old construction worker presents with a 4-week history of right-sided groin pain. The pain is described as sharp, burning, and radiates to the upper thigh and scrotum. He also reports intermittent numbness in the same areas. The pain worsens with walking and tight clothing but improves slightly with rest. He denies any swelling, fever, or redness in the groin. Past Medical History: Hypertension, controlled with medication. No history of prior groin pain or surgeries. Physical Examination: Vital Signs: Normal. Inspection: No redness, swelling, or hematoma in the groin area. Palpation: Tenderness in the right inguinal region without masses Sensory Testing: Decreased sensation to light touch in the right upper thigh and scrotum. Motor Testing: Cremasteric reflex absent on the right side. Which of the following is the most common cause of this nerve injury?
A 40-year-old woman reports 10 days of persistent diarrhea, nausea, and abdominal cramps after returning from an overseas trip. Stool tests confirm the presence of Giardia duodenalis. The clinician discusses treatment options. What is the first-line treatment for giardiasis in most patients?
A 5-year-old child presents with chronic diarrhea, abdominal cramps, and failure to thrive. The child attends daycare, and several other children in the daycare have had similar symptoms recently. You suspect giardiasis and decide to order diagnostic tests. Which of the following is the most specific diagnostic test for giardiasis?
A 30-year-old hiker presents with a 2-week history of foul-smelling, greasy diarrhea, abdominal bloating, and fatigue. He reports drinking untreated water from a mountain stream during a recent hiking trip. Physical examination is unremarkable. The clinician suspects giardiasis and investigates the mode of transmission. Which of the following is the most common mode of transmission for Giardia duodenalis?
A 20-year-old college student presents with symptoms and signs suggestive of yersiniosis. Stool culture is positive for Yersinia enterocolitica.The patient is treated with supportive care, including hydration and antipyretics. Symptoms resolve within a week.Which of the following symptoms is most characteristic of yersiniosis?
Emma, a 7-year-old girl, is brought to the clinic by her parents due to a 3-day history of watery diarrhea, abdominal pain, and low-grade fever. Her parents note that the pain seems to be worse in the lower right side of her abdomen, and she has been lethargic. They mention that Emma drank unpasteurized milk at a family farm outing a week ago. On physical examination, Emma has mild dehydration, and her abdomen is tender in the right lower quadrant, raising concerns about appendicitis. Stool analysis is performed which confirms the diagnosis. Which of the following is the most common causative agent of yersiniosis?
A 10-month-old male is brought to the emergency department with a 12-hour history of severe, intermittent crying episodes. The infant pulls his legs to his chest during the episodes and appears lethargic between them. His mother reports one episode of vomiting, initially non-bilious but now greenish, and a single stool containing blood and mucus. On physical examination, his abdomen is mildly distended, and a sausage-shaped mass is palpated in the right upper quadrant. What is the most likely diagnosis?
