An adult patient with a history of osteoarthritis has been t…
An adult patient with a history of osteoarthritis has been taking naproxen (Aleve) 220 mg BID for pain control. The patient presents to the clinic reporting new onset of upper abdominal discomfort over the last few weeks which includes gastric pain with eating and increased belching. What is the most effective initial intervention to address this condition?
Read DetailsA 47‑year‑old woman presents with right upper‑quadrant abdom…
A 47‑year‑old woman presents with right upper‑quadrant abdominal pain, dark urine, and pruritus. She recently had an episode of biliary colic. On physical exam, scleral icterus is noted. Which laboratory pattern is most consistent with the suspected diagnosis?
Read DetailsA 62 year old non-Hispanic white male with a history of smok…
A 62 year old non-Hispanic white male with a history of smoking presents to the clinic. He has been taking an OTC omeprazole (Prilosec) for heartburn for 5 years and reports worsening pyrosis and regurgitation. Which of the following is the biggest concern?
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