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Is the highlighted structure found on the lateral or medial aspect of the bone?

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A 4-year-old boy presents to urgent care with a new onset of a rash and toxic appearance. His caregiver says he became fussy and started refusing food about a week ago. Fever and malaise have persisted, despite use of liquid acetaminophen, and the rash appeared on his chest 3 days ago. Vitals are BP of 90/60 mm Hg, HR of 125 bpm, RR of 20 bpm, T of 102.1°F, and oxygen saturation of 97%. On exam, you identify a diffuse, maculopapular blanching rash on the chest, antecubital fossa, and anterior forearms with some desquamation at the fingertips. Sclera are clear, pharynx is slightly erythematous, tongue is somewhat swollen and red with pronounced papillae, and cervical lymph nodes are undetectable. What is the most likely diagnosis?

Which of the following is the most appropriate care for the patient’s close household contacts? Meningococcal disease,

34-year-old man presents to urgent care with diarrhea and abdominal pain for the past 24 hours. He reports cramping abdominal pain, 10–12 bowel movements in that period, and blood in his stool. He also states he was feeling feverish for 1 day before the abdominal pain started, but he reports no nausea or vomiting. 2 days ago, he returned from a week-long trip to Guatemala. While there, he visited a petting zoo where he had contact with chickens, cows, and donkeys. He was careful to drink bottled water. He has no significant medical history and is on no medications. His vitals include a BP of 111/70 mm Hg, HR of 74 bpm, RR of 14/min, T of 99.0°F, and SpO2 of 99% on room air. On physical examination, he has dry mucous membranes and is tender to palpation in the periumbilical area. Stool guaiac is positive. Stool studies are negative for ova and parasites. What is the most likely cause of his symptoms?

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