A 55-year-old man presents to the clinic for follow up. He…
A 55-year-old man presents to the clinic for follow up. He recently established care with you and he is returning to discuss labwork results. He has an A1c of 9.5%. He is obese (BMI 32) and has a history of hypertension. He reports no symptoms. 1. What does an A1c of 9.5% indicate? 2. What is the most appropriate 1st line medication considering his profile? 3. Would your plan change if his creatinine was elevated? 4. What further diagnostics/testing/referrals would you suggest? 5. Patient education?
Read DetailsMary is a 34 year old female with no significant past histor…
Mary is a 34 year old female with no significant past history presenting to the clinic for “my heart feels like its racing and I can’t tolerate the heat.” Upon gathering history, she informs you for the past 3 months she has had the following: palpitations, unintentional weight loss, heat intolerance, anxiety/irritability, insomnia, frequent bowel movements, menstrual irregularities. She does not take any medications but does take caffeine supplements occasionally for energy. Vitals; BP 138/72, HR 112, RR 18, Temp 99.4. Exam: mild exophthalmos, lid lag present, diffuse non-tender goiter, thyroid bruit present. She is tachycardic with no murmurs with fine tremor of hands and hyperreflexia. labs show TSH
Read DetailsConfucians outline four moral qualities of the human mind as…
Confucians outline four moral qualities of the human mind as ren, yi, li, and zhi. Explain what these four qualities are and how they provide the framework to achieve the status of a junzi in a paragraph. Then, juxtapose this with the concept of de in Daoism and how a zhen ren aligns one’s de with the dao in another paragraph.
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