Angela, aged 32 years old, presents to the clinic with compl…
Angela, aged 32 years old, presents to the clinic with complaints of nausea, vomiting and diarrhea that began suddenly last night. Angela reports that 2 out of 3 of her children have had the same symptoms in the last week. She reports taking Zofran with some relief of symptoms. It is highly probable that Angela has contracted gastroenteritis from her children. Angela asks about anti-diarrheal medications as she is quite miserable with the frequency of diarrhea stools. What is the best response by the provider?
Read DetailsA 22 year-old African American patient presents to the clini…
A 22 year-old African American patient presents to the clinic with the following chief complaint, “It is happening again. I am having increased fatigue, joint pain, and swelling.” You know this patient is having a pain crisis and is suffering from which blood cell disorder?
Read DetailsA male patient has a history of recurrent epistaxis. Prior t…
A male patient has a history of recurrent epistaxis. Prior to a scheduled surgery, the provider asks about a family history of bleeding disorders. The patient reports no female relatives who had excessive bleeding episodes, but states that a maternal uncle and his maternal grandfather both had postsurgical complications related to bleeding. Based on this history, which diagnosis is possible?
Read DetailsMrs. Smith is a 58 year old white female with the following…
Mrs. Smith is a 58 year old white female with the following CBC results: RBC 3.2 thou/ccm 5-11 thou/cmm Hgb 10.2% 12-16% Hct 28.1% 36-48% MCV 69 78-102 u(3) Serum folate 3.8 mg/ml 3.5-5.0 mg/ml B12 228 pg/ml 110-1500 pg/ml Total iron binding capacity 388 224-428 % Ferritin 175mEq 12-300 mEq Based on this information, which of the following is the most appropriate diagnosis?
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