The Centers for Disease Control and Prevention (CDC) Guideli…
The Centers for Disease Control and Prevention (CDC) Guideline for Prescribing Opioids for Chronic Pain provides recommendations to primary care providers about the appropriate prescribing of opioids to improve pain management and patient safety. Which of the following statements is NOT included in the CDC Guidelines for an opioid medication taper?
Read DetailsA 72-year-old woman presents with a history of facial droopi…
A 72-year-old woman presents with a history of facial drooping and left upper extremity weakness that lasted about two hours the previous day. She is currently asymptomatic. Her medical history includes hypertension and Type 2 diabetes, for which she takes losartan and metformin. Her father had a myocardial infarction at age 62. She smokes daily and does not drink alcohol. On examination, her vital signs are normal, with a blood pressure of 122/74 mmHg. Cardiac exam shows a regular heart rate without murmurs, and her neurological exam is within normal limits.
Read DetailsA 72-year-old patient with a 30-year history of type 2 diabe…
A 72-year-old patient with a 30-year history of type 2 diabetes and hypertension returns to your office for a routine visit. She is taking semaglutide (Ozempic-GLP-1) 0.25 mg-2 mg subcutaneous weekly injection for her diabetes. She is also on atorvastatin 40 mg daily and lisinopril 40 mg daily. She is on no other medications. Her A1C is 6.5% and her BP today is 145/90. She notes blurry vision for the past several months and a few days of dark spots in her vision. She reports no headaches or nausea. What is the most appropriate next step to slow down the progression of diabetic retinopathy?
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