What diagnostic tests would you consider for your top differential? 

What is your top differential diagnosis? 

A patient presents to the clinic in respiratory distress, hypotensive, cyanosis, altered mental status, heart murmur, pleuritic chest pain with radiation to the back. What is your initial treatment plan? 

An African American patient presents to the clinic with a history of diuretic therapy for poorly controlled hypertension. According to JNC-8, what classification of medication is recommended for this patient to add to the current diuretic therapy?

Another patient presents to the clinic post bar fight and is noted to have swelling around the right orbit. The patient is conscious but unable to see out of the right eye. You mechanically manipulate the eyelid and determine an open globe rupture. What is your initial treatment? 

Match the following patients with their personality disorder type 

What is your top differential diagnosis? 

A 36-year-old female was working on her deck 2 hours ago when her thumb got caught between two planks of wood. She is reporting severe persistent pain in the left thumb nail and states it seems to be getting worse. On exam the patient’s thumb nail has black/purplish discoloration underneath the intact nail. She maintains normal AROM, and is neurovascularly intact. There is a XR negative for fracture. Based on her exam, what is your diagnosis and what would you recommend? 

What are differentials that need to be on your list? 

A 7 year old boy is brought into the clinic due to acute new onset of limping. The onset was insidious without injury to the affected let. There is pain and limitation of motion to the right hip. The patient is afebrile and generally well appearing besides this limp. Labs are unremarkable for any abnormality. This may be indicative of which of the following condition?