A 66-year-old bus driver presents to your office concerned a…
A 66-year-old bus driver presents to your office concerned about right calf pain and swelling. He just returned from a four day cross-country trip after which he had onset of his current symptoms. He reports that the week prior to his four day trip, he spent most of his time in bed recovering from the flu. His PMH is significant for DM type 2 and COPD. He has a 25-pack-year smoking history. He denies having any chest pain or SOB. His physical exam reveals 2+ pitting edema of his right leg. His right leg circumference is 34 cm and his left left circumference is 30 cm. Which diagnostic test would you order during the evaluation of this patient to help you determine his diagnosis?
Read DetailsYour next patient is a 70 year old male. He experienced a br…
Your next patient is a 70 year old male. He experienced a brief onset of right-sided weakness, slurred speech and confusion one day ago. This episode lasted an hour and a half. He has a history of hypertension and Type 2 diabetes mellitus . His ABCD Score for Acute Cerebral Vascular Syndrome (Transient Ischemic Attack) is 8 (the highest possible score). The symptoms resolved and he feels fine today. As this patient’s primary care provider (PCP) you would:
Read DetailsFungal infections of the nail are characterized by nail disc…
Fungal infections of the nail are characterized by nail discoloration, thickening and deformity. Onychomycosis is the most common nail condition, and most frequently occurs in toenails. While counseling a patient on treating nail fungal infections, which of the following would be routinely included in patient education?
Read DetailsPrimary varicose veins result from incompetent perforators,…
Primary varicose veins result from incompetent perforators, which produce local varicosities, or from incompetence of the saphenous vein valves, which produce more generalized varicosities. Varicose veins are characterized by:
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