An 80 year old man with type 2 DM comes in for an evaluation…
An 80 year old man with type 2 DM comes in for an evaluation. He reports at his last visit 2 months ago he received new medication and he feels shaky and sweaty some times and he occasionally checks his blood sugar and it is 60-70 mg/dl. Which of the following medications is most likely responsible for these symptoms?
Read DetailsA 34-year-old woman presents to the clinic with intense itch…
A 34-year-old woman presents to the clinic with intense itching that worsens at night. She reports that her husband has similar symptoms. On examination, you notice multiple small, erythematous papules and burrows on her wrists and between her fingers. The nurse practitioner prescribes a Premethrin (Elimite) topical medication to be applied overnight from the neck down. What is the most likely diagnosis?
Read DetailsA 38-year-old woman presents to her primary care provider wi…
A 38-year-old woman presents to her primary care provider with sudden onset of severe epigastric pain radiating to her back, accompanied by nausea and vomiting. She has a history of gallstones and reports drinking alcohol occasionally. On examination, she is tachycardic and mildly febrile. Laboratory tests reveal elevated serum amylase and lipase levels. The provider suspects acute pancreatitis. Which is the most appropriate action for the management of the patient in the primary care setting?
Read DetailsDaniel, a 35 year old man, presents with nasal congestion,…
Daniel, a 35 year old man, presents with nasal congestion, sneezing and a sore throat that began three days ago. He denies fever, facial pain or purulent nasal discharge. He is otherwise healthy and reports close contact with several similarly sick contacts. Which of the following is NOT recommended as treatment for this patient?
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