A 32-year-old female presents to clinic two weeks after the…
A 32-year-old female presents to clinic two weeks after the death of her parent. She reports feelings of sadness and hopelessness and mentions experiencing the sensation that her parent is still present, including hearing the parent’s voice at times. As the healthcare provider, how would you interpret these findings?
Read DetailsA 56-year-old female with non-ischemic heart failure and hyp…
A 56-year-old female with non-ischemic heart failure and hypertension presents to the office for a routine follow-up. Her last hospitalization for congestive heart failure (CHF) with HFrEF (reduced ejection fraction) exacerbation was two years ago. She is currently not complaining of shortness of breath, orthopnea, lower leg edema, or chest pain. She has been following a low-salt diet and does not drink alcohol. Medications: carvedilol, 81 mg asa Home blood pressure measurements have ranged from 140-150/80-90 mmHg Physical exam findings: Blood pressure: 150/90 mmHg Heart rate: 60 beats/minute, S1S2 with no murmurs or gallops Her respiratory rate is 12/minute Her jugular venous pulse and pressure (JVP) is within the normal range and her lungs are clear bilaterally Her point of maximal impulse (PMI) is laterally displaced What medication should you add that could also decrease her risk of mortality from heart failure?
Read DetailsMultiple Sclerosis (MS) is a clinical diagnosis. The initial…
Multiple Sclerosis (MS) is a clinical diagnosis. The initial presentation of MS can often go unrecognized or is attributed to other causes, especially if the symptoms are vague. Which of the following is NOT included in the common presenting symptoms category for the diagnosis of MS?
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