USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 38-year-old man with a long history of alcohol abuse comes to the emergency department because of persistent vomiting. The patient was found by paramedics vomiting next to an empty bottle of vodka. The patient has an active prescription for doxycycline to treat Lyme disease. After a prolonged episode of retching the patient suddenly clutches at his chest and starts to breathe rapidly with episodes of coughing. Which of the following is the most likely diagnosis for his change in symptoms?