Patient CR is a 42 y/o female with a history of hyperlipidem…
Patient CR is a 42 y/o female with a history of hyperlipidemia on atorvastatin 20 mg who calls your office today with the chief complaint of symmetric, hip flexor/thigh muscle pain/weakness. The onset began a few weeks after she began taking a medication with CYP 3A4 inhibitory properties at your last visit. What pharmacokinetic property may have impacted development or worsening muscle pain in this scenario?
Read DetailsA 62-year-old male presents to your clinic with concern for…
A 62-year-old male presents to your clinic with concern for shortness of breath. He describes the sensation as “tightness in the chest” that began gradually over the past three weeks. The dyspnea worsens with exertion and improves with rest. He rates the intensity as 6 out of 10 and denies wheezing, cough, or fever. He has a history of hypertension and hyperlipidemia but no known pulmonary disease. Which of the following symptom dimensions is least helpful in narrowing the differential diagnosis for this patient’s dyspnea?
Read DetailsA 34-year-old patient presents to the clinic with of a two-…
A 34-year-old patient presents to the clinic with of a two-day history of fever, sore throat, and nonproductive cough. Medical history is significant for an appendectomy at age 18. She does not take any medications. Temperature is 38.7 C (101.6 F), pulse is 88 beats/minute, respiratory rate is 18 breaths/minute, and blood pressure is 136/84 mmHg. Pulse oximetry on room air shows an oxygen saturation of 97%. Physical examination shows erythema of the oropharynx and mild cervical lymphadenopathy. Cardiac exam reveals a regular rate and rhythm without murmurs, gallops, or rubs. Lungs are clear to auscultation bilaterally. Results of studies are below: Rapid streptococcal antigen detection test: negative Rapid influenza test: positive for influenza A. What symptom is most likely to be present in this patient?
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