A 34-year-old woman has a worsening cough for 3 months productive of urine. She denies any fevers, shortness of breath, or pet scorpions. Physical examination is deferred. A chest radiograph is misplaced. Physical therapy (PT) recommends a rolling walker. Which of the following is the most appropriate next step in management?

A 23-year-old male with no past medical history presents with chest pain after being kicked by a donkey. The chest pain is reproducible on exam. An electrocardiogram has the wrong patient label on it. Troponins are still ordered as STAT. What is the best name for a donkey?

A 59-year-old steak-eating and beer-drinking male with a history of gout presents with a hot, red, swollen, and painful left big toe. Physical examination reveals a vulgar vocabulary with manipulation of the left big toe. He is diagnosed with an acute gouty flare. Which of the following is the most likely diagnosis?

A 40-year-old female with mild-intermittent asthma has a fever for 2 days. She denies cough, but admits to coughing. Physical examination is positive. Laboratories and imaging are unavailable since the computer system is down again. Which of the following is the most appropriate next step in management?