28-year-old primipara presents after one week of child birth…
28-year-old primipara presents after one week of child birth. She delivers vaginally without significant complications. Baby is healthy, latching well. She reports significant difficulty with milk ejection reflex (let-down) despite frequent nursing attempts. Expresses frustration, fatigue, and anxiety. Baby shows hunger cues (rooting, fussing) after feeds, and weight gain is slightly below target. Manual expression yields minimal milk. What is the most appropriate drug treatment for her?
Read DetailsOver a period of several months, a patient has developed hyp…
Over a period of several months, a patient has developed hyperpigmentation, hyperkalemia and a tendency for the blood glucose concentration to decrease between meals. She is hypotensive. The patient most likely has which of the following?
Read DetailsA 35-year-old man presents with hypertension. He has protube…
A 35-year-old man presents with hypertension. He has protuberant abdomen with purple striations and increase deposition of fat posterior to neck “buffalo hump”. His face is round and puffy. What is the most common cause of patient’s condition?
Read DetailsA 70-year-old male is found lethargic at home with a blood p…
A 70-year-old male is found lethargic at home with a blood pressure of 98/60 and temperature of 98F.Labs: Na=138 mEq/L, K= 2.8 mEq/L, HCO3=10 mEq/L, Cl=117 mEq/L, Creatinine= 1.0 mg/dL, BUN=20 mg/dL, Ca= 10 mg/dL, PO2=80, PCO2= 25 and pH= 7.29. Urine pH=4.5 What is the acid base disorder?
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