This patient has a history of GERD and reports that he has been taking 600mg of Ibuprofen PO TID since this back pain has started 3 days ago. He states that his GERD symptoms have worsened since taking the Ibuprofen. He has tried Acetaminophen as well, which has not helped with the pain. You advise the patient to stop the Ibuprofen due to the GI side effects. What do you advise for alternative treatment?

This patient has a history of GERD and reports that he has been taking 600mg of Ibuprofen PO TID since this back pain has started 3 days ago. He states that his GERD symptoms have worsened since taking the Ibuprofen. He has tried Acetaminophen as well, which has not helped with the pain. You advise the patient to stop the Ibuprofen due to the GI side effects. What do you advise for alternative treatment?

 A patient presents with known osteoarthritis and has been taking NSAIDs. There is a strong suspicion for peptic ulcer disease. What is the most effective initial step in treating this patient’s peptic ulcer disease?

What is your differential? 

What type of diarrhea does this patient most likely have?

Match the following symptoms with mania versus depression 

What diagnostic tests would you consider for your top differential? 

What is your top differential diagnosis? 

A patient presents to the clinic in respiratory distress, hypotensive, cyanosis, altered mental status, heart murmur, pleuritic chest pain with radiation to the back. What is your initial treatment plan? 

An African American patient presents to the clinic with a history of diuretic therapy for poorly controlled hypertension. According to JNC-8, what classification of medication is recommended for this patient to add to the current diuretic therapy?