A new 52 year old male patient comes to your office for a physical. He denies any past medical history or medications. On exam you note the blood pressure is 165/98 along with labs that show the creatinine is 1.9 and the eGFR is 53. What is your next step in evaluation of this patient?
Read DetailsA 55 year old male with PMH of hypertension presents the office for fatigue, weakness and palpitations. A CBC is ordered and you notice the patients hemoglobin level is 9.8 and their MCV is 114. You note that his ECG and vital signs are normal. What would be the next step in your work-up of this patient?
Read DetailsA 52 year old female presents to the office for enlarged lymph nodes on the side of her neck. She reports that they have been there for the past month. She denies any recent illness, fever, chills, sore throat, cough, congestion or URI symptoms. On examination, you note 3 enlarged nodes on the anterior cervical chain bilaterally. They measure 2x3x2, 3x1x2, 1.5×3.2×2. What is the next step in testing for this patient. List 5 things in order of importance that you would check on her.
Read DetailsA 57 year old Buddhist patient was recently in a car accident. He presents to your office for follow-up after being seen in the ER. His records indicate that nothing is broken except for a few cracked ribs on the right side. He indicates that he is in a lot of pain. He was given high dose oxycodone on a regular time pain schedule. What is the likely reason he is still in a lot of pain?
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