A 53 year old African American male presents to your office…
A 53 year old African American male presents to your office for follow-up. He was diagnosed with hypertension 3 months ago and is currently taking HCTZ 25 mg daily. He reports that he is feeling well and denies any complaints of lower extremity swelling, chest pain, shortness of breath or headaches. His physical exam reveals the following: BP: 150/87, HR: 73, RR 14, Temp 98.6, O2 Sat 100% and normal ECG. His PE is normal. What is the next best step in management of this patient?
Read DetailsA 32 year old male presents to the office for left upper abd…
A 32 year old male presents to the office for left upper abdominal pain. He reports it started this morning when he awoke. He complains of nausea, vomiting, and decreased appetite. He has a history of alcohol abuse. You suspect he has pancreatitis and explain that his treatment will include
Read DetailsA 37 year old male presents to the office for follow-up to h…
A 37 year old male presents to the office for follow-up to his major depression. He has a past medical history of reflux and he smokes 1ppd. He was seen about 6 weeks ago and started on Paroxetine 20mg daily. He indicates that it seemed like it was working, but he stopped because he was having sexual side effects. What recommendations would you provide to him?
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