A pediatrician calls asking for your advice. She has a 9-yea…
A pediatrician calls asking for your advice. She has a 9-year-old male patient with asthma , currently using fluticasone HFA 110mcg – 2 puffs BID (oral inhaler). The patient has had mild/intermittent season allergies in the past and is taking cetirizine 5mg daily. This spring allergies have become worse and are now very bothersome for the patient, and she would like to add a nasal steroid but is worried about possible effects on his growth. Which of the following is the most appropriate advice?
Read DetailsGC, a 42-year-old woman asks you for a suggestion on how to…
GC, a 42-year-old woman asks you for a suggestion on how to control her nasal symptoms from allergic rhinitis. Currently she complains of profuse watery rhinorrhea and sneezing. Upon further discussion it she reports her symptoms are intermittent, but they are more troublesome at work (she is a hair stylist). Therefore, she needs a medication that will work quickly. Which of the following would be the most appropriate recommendation?
Read DetailsThis 55-year-old man presents for an annual check-up. He has…
This 55-year-old man presents for an annual check-up. He has a PMH significant for hypertension, prediabetes, and MI (in 2023). He is on a low dose aspirin, long acting beta blocker, a high-intensity statin, and an ACE inhibitor. His BP 135/86, pulse 58, weight 183 lbs and BMI 26.3. His LDL-C is 65 mg/dL, his HDL-C 39 mg/dL and triglycerides are 210 mg/dL. His fasting glucose is 109 mg/dL. He informs you that he is walking one hour six days a week and consume a diet that emphasizes vegetables, fruits, and whole grains, including low-fat dairy products. Is additional lipid lowering therapy recommended for this patient? If so, what would you recommend?
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(please refer to the case below to answer the following two (2) questions) LM, a 63-year-old man is seen in the office 2 weeks after a ST-elevation myocardial infarction (MI). He was prescribed atorvastatin 40 mg. He stopped the atorvastatin 40 mg 2 days ago after developing muscle cramps in his legs. When reviewing his medication profile you notice he is receiving metoprolol 50 mg twice a day, aspirin 81 mg daily and diltiazem 120 mg daily for his hypertension.
Read Details(please refer to the case below to answer the following two…
(please refer to the case below to answer the following two (2) questions) AK is a 50-year-old man who presents to your clinic today with diffuse muscle pain in his lower back and lower extremities. His medications have been stable for at least 6 months except for the addition of clarithromycin which was prescribed 2 days ago for an upper respiratory infection. His most recent blood pressure reading was 120/70 mm Hg and heart rate 76 beats/min. AK’s most recent lipid panel was high density lipoprotein (HDL) cholesterol = 60 mg/dL, triglycerides = 150 mg/dL, and total cholesterol = 190 mg/dL. Current laboratory results include: creatine kinase (CK)= 12300 units/L (normal range males, : 40-200 IU/L) aspartate transaminase= 30 units/L (normal range: 8-42 IU/L) alamine transaminase (ALT)= 20 units/L (normal range: 3-30 IU/L) PMH Meds HTN x 10 yrs Hydrochlorothiazide 25 mg po daily Hypercholesterolemia Atorvastatin 20 mg/day Clarithromycin 500 mg 2 times daily for 7 days Aspirin 325 mg daily Multivitamin daily FH All: NKDA Father died age 44 from MI Mother alive and well 1 sister age 25 alive and well SH Housekeeper for local hospital Tobacco: cigarettes ½ ppd since age 16 EtOH: 1 glass of red wine every night Physical activity: exercises 3 x week > 30 minutes
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