A 72-year-old woman presents with a history of facial droopi…
A 72-year-old woman presents with a history of facial drooping and left upper extremity weakness that lasted about two hours the previous day. She is currently asymptomatic. Her medical history includes hypertension and Type 2 diabetes, for which she takes losartan and metformin. Her father had a myocardial infarction at age 62. She smokes daily and does not drink alcohol. On examination, her vital signs are normal, with a blood pressure of 122/74 mmHg. Cardiac exam shows a regular heart rate without murmurs, and her neurological exam is within normal limits.
Read DetailsA 72-year-old patient with a 30-year history of type 2 diabe…
A 72-year-old patient with a 30-year history of type 2 diabetes and hypertension returns to your office for a routine visit. She is taking semaglutide (Ozempic-GLP-1) 0.25 mg-2 mg subcutaneous weekly injection for her diabetes. She is also on atorvastatin 40 mg daily and lisinopril 40 mg daily. She is on no other medications. Her A1C is 6.5% and her BP today is 145/90. She notes blurry vision for the past several months and a few days of dark spots in her vision. She reports no headaches or nausea. What is the most appropriate next step to slow down the progression of diabetic retinopathy?
Read DetailsMedical complications seen in patients with eating disorders…
Medical complications seen in patients with eating disorders can be life threatening. The risk of medical complications increases with the length of time patients are living with these diseases. Which of the following potential medical complication is NOT seen in patients with eating disorders?
Read DetailsYou are seeing a 58-year-old female patient in your clinic i…
You are seeing a 58-year-old female patient in your clinic in Minneapolis, MN during the month of February 2025. She states that she is struggling with her previously well-managed diagnosis of mild depression and she is feeling irritable more often. She is currently not on any medication. Her work has been particularly stressful, and she has found it hard to exercise recently due to the weather. You suspect this patient may have seasonal affect disorder (SAD). Which of the following is NOT typically ordered for patient’s with SAD?
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