A 62 yo man with a recent cardiac stent procedure is started…
A 62 yo man with a recent cardiac stent procedure is started on clopidogrel. Twenty-four hours following this procedure, he suffers what appears to be a focal seizure with impaired awareness and is prescribed Vimpat in the Emergency Dept. Two months later, he presents with stent thrombosis. Upon exam, he also complains of persistent dizziness and some sleepiness. You suggest that perhaps genetic testing might be informative. What do you suspect?
Read DetailsLM is a 72-year-old patient that is diagnosed with generaliz…
LM is a 72-year-old patient that is diagnosed with generalized anxiety disorder and moderate depressive symptoms. She currently takes medication for blood pressure and cholesterol. No other medications. LM and her clinician agree that starting a medication would be appropriate. Which of the following is the MOST appropriate option to recommend?
Read DetailsA 32 yo patient with a diagnosis of bipolar I disorder is ad…
A 32 yo patient with a diagnosis of bipolar I disorder is admitted to the hospital during a manic episode. The patient is pregnant and is in the first trimester of pregnancy. They are not currently taking any medications. They have been prescribed medications for bipolar disorder in the past but are unable to recall the names currently. The patient is not experiencing suicidality. They do not have any other medical conditions. Which of the following is the MOST appropriate medication to start for the patient today?
Read DetailsA 23-year-old woman reports brief episodes of dizziness and…
A 23-year-old woman reports brief episodes of dizziness and nausea that occur when she turns her head quickly or gets out of bed. Neurological and cardiac exams are normal. Which of the following is the most likely cause of her symptoms?
Read DetailsA 47-year-old patient with fentanyl addiction has not used a…
A 47-year-old patient with fentanyl addiction has not used any opioids for 12 hours and is experiencing restlessness, abdominal cramps, nausea, vomiting, diaphoresis, and mydriasis. Which treatment would most effectively relieve these acute withdrawal symptoms?
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