A 70-year-old man comes to the clinic complaining of heart p…
A 70-year-old man comes to the clinic complaining of heart palpitations for the last 3 weeks. He has a history of hypertension, type 2 diabetes mellitus, and coronary artery disease. Irregularly irregular pulse is present during physical exam and electrocardiogram. Which of the following anatomic sites is the most likely origin for this patient’s arrhythmia?
Read DetailsA 65-year-old man who is a heavy smoker with long-standing u…
A 65-year-old man who is a heavy smoker with long-standing uncontrolled hypertension, diabetes mellitus, chronic kidney disease, and dyslipidemia presents to the outpatient clinic with shortness of breath, which happens with minimal effort. On physical exam, his blood pressure is 160/100 mmHg; otherwise his exam is unremarkable. Chest x-ray shows prominent left heart border and echocardiogram shows left ventricular hypertrophy. Which of the following risk factors is the main cause for this patient’s symptoms?
Read DetailsA nurse practitioner preceptor and learner are evaluating a…
A nurse practitioner preceptor and learner are evaluating a patient with a chief complaint of a headache and history of migraines. The preceptor asks the learner to obtain a detailed information on the patient’s condition. Which reporting statement by the learner is most concerning to the preceptor?
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