49 y/o male presents to ED with complaints of excessive thir…
49 y/o male presents to ED with complaints of excessive thirst and ice cravings. He has noticed increased irritability and family reports he seems “off” at times. He also reports he has noticed that he has been urinating more frequently. The AG-ACNP suspects an endocrine disorder. Laboratory findings obtained and are significant for hypernatremia, hypercalcemia, and increased serum osmolality. Urinalysis is negative for infection but shows dilation. What diagnostic test can help confirm and differentiate suspected diagnosis?
Read Details51-year-old female presented to urgent care with intermitten…
51-year-old female presented to urgent care with intermittent headaches, progressive fatigue, sparse axillary hair, arthralgia, and unexplained weight loss. Vital signs are significant for mild hypotension. Denies fever or night sweats. Clinical examination reveals hyperpigmentation in buccal mucosa and skin folds. What endocrine disorder does the AG-ACNP suspect?
Read DetailsYou are discharging a patient from the observation chest pai…
You are discharging a patient from the observation chest pain unit. A 47 year old male presented with chest pain this morning. ECG: sinus rhythm, no ST changes, rate 89, normal axis. Troponins are normal. A treadmill stress test is performed and found to be normal. You diagnose the patient with GERD and esophageal spasms. What is the most appropriate prescription at discharge?
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