MT is a 45 yo female who was diagnosed with breast cancer an…
MT is a 45 yo female who was diagnosed with breast cancer and is undergoing treatment/chemotherapy. She presents with complaints of constipation, extreme fatigue/lethargy, polyuria, and weight loss. Which Oncologic Emergency are you most concerned about:
Read DetailsTom is a 19-year-old male, who presents with sudden onset of…
Tom is a 19-year-old male, who presents with sudden onset of edema of the lips and face and a sensation of throat tightness and shortness of breath” after a bee sting. Physical exam reveals inspiratory and expiratory wheezing. Blood pressure is 78/44 mm Hg and heart rate is 102 bpm; respiratory rate is 24 /min. His clinical presentation is most consistent with the diagnosis of:
Read DetailsSarah Brown, a 43-year-old female, presents to your clinic w…
Sarah Brown, a 43-year-old female, presents to your clinic with intense pruritus and erythema on bilateral forearms. She stated she was working in her garden a few days ago and now has well-demarcated contact dermatitis. Which type of hypersensitivity reaction is Sarah experiencing?
Read DetailsThe NP is evaluating Mr. McNamara, a 73-year-old patient bei…
The NP is evaluating Mr. McNamara, a 73-year-old patient being followed by you for hypertension. His blood pressures over the preceding month included measures of 184/82, 178/82, 190/80, and 188/84. He was started on a thiazide diuretic three weeks ago, and today is being seen in follow-up. His blood pressures since beginning therapy are 176/90, 170/80, and today 160/80. According to guidelines, the next step for his treatment is to:
Read DetailsKB is a 48 yo male who presents to your clinic with shortnes…
KB is a 48 yo male who presents to your clinic with shortness of breath, hemoptysis, a cough and wheezing which has been going on for 6 months. He has a 20 pack year smoking history. As his PCP, an important diagnostic test to include in your diagnostic work up would be:
Read DetailsMr. Henry, a 61-year-old with a history of MI (at age 50) an…
Mr. Henry, a 61-year-old with a history of MI (at age 50) and hypertension is being seen for fatigue and decreased exercise tolerance. He complains of mild SOB and pain in his legs when walking even short distances. Blood Pressures: Right arm: 138/88 Left arm: 142/86 Ankle: 90 systolic Based on the calculated ABI, the NP’s recommendation is:
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