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A 58-year-old woman presents with 6 hours of severe, constant right upper quadrant pain, fever of 38.9 °C, and a positive Murphy sign. Labs show WBC 16,000/μL and total bilirubin 1.0 mg/dL. Ultrasound reveals a distended gallbladder with wall thickening and pericholecystic fluid. Which of the following is the most appropriate next step in management?
A 32-year-old woman, gravida 2 para 1, at 34 weeks gestation presents with a blood pressure of 162/108 mmHg, 3+ proteinuria, and a platelet count of 88,000/μL. She reports a persistent headache and right upper quadrant pain. AST is 245 U/L and LDH is 680 U/L. Which of the following is the most appropriate management?
A 7-year-old boy is brought to the emergency department with a 2-day history of fever, sore throat, and rash. Examination reveals a diffuse, fine, sandpaper-like erythematous rash sparing the face, with circumoral pallor and a strawberry tongue. Rapid strep test is positive. Which of the following is the most likely diagnosis?
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