A 60-year-old man has major depressive disorder, generalized…
A 60-year-old man has major depressive disorder, generalized anxiety, and chronic diabetic peripheral neuropathy. His blood pressure is controlled on lisinopril. Which antidepressant choice and monitoring plan is most appropriate?
Read DetailsA 17-year-old male was diagnosed with acne and prescribed be…
A 17-year-old male was diagnosed with acne and prescribed benzoyl peroxide lotion and clindamycin 1% gel. At his 4-week follow-up visit, he reports no improvement in his skin. What is the most appropriate next step in management?
Read DetailsYour next patient is a 56-year-old woman. She is experiencin…
Your next patient is a 56-year-old woman. She is experiencing heart palpitations but denies chest pain, shortness of breath, insomnia, and waking up with racing thoughts. This is fairly new to her, she has been very healthy and has regular health maintenance exams. Her last annual exam was one year ago. She is up-to-date with all immunizations. She does not take any medications. She had somewhat similar symptoms about 8 months ago; she went to the ED and the cardiac evaluation ruled out a possible MI or arrhythmia. She did not follow up with her PCP after that, she has been too busy with work. Which of the following would be least appropriate to support your thoughts regarding her mental health status?
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