You are reviewing the chart of Mr. Janssen, a 65 year ol…
You are reviewing the chart of Mr. Janssen, a 65 year old man. At his last visit, he complained of chest pain and shortness of air, occurring when he would walk fairly long distances. They resolved with rest. Today, he reports the episodes are still occuring, but have changed, as they are sometimes associated with nausea and vomiting. He is still able to relieve the symptoms with rest, however. With this new information, you believe that his diagnosis is likely:
Read Details*Your friend brings his 85 y/o father to your practice becau…
*Your friend brings his 85 y/o father to your practice because he is having new onset trouble remembering things and being oriented. He talked to him 3 days ago and he was fine. But, today, he found him in the living room with his pajamas on looking for his car keys. He has a fever today of 102F. Past medical history consists of arthritis, hypertension and BPH. Which of the following tests would be a easy way to tell what could be going on?
Read DetailsMr. Resch was diagnosed with hyperlipidemia six months ago. …
Mr. Resch was diagnosed with hyperlipidemia six months ago. He declined medications & has been exercising regularly and has changed to a low fat diet. Results of his fasting lipid panel last week are: Total cholesterol – 202, LDL – 176, HDL 33, and VLDL 22. His 10 year risk of major CV event is 12.1%. Which of the following would be the most appropriate class of medication to prescribe for Mr. Resch’s hyperlipidemia?
Read DetailsA 19 year old young man comes walks into your clinic at 8:30…
A 19 year old young man comes walks into your clinic at 8:30am with complaint of painful and swollen testicles. On physical exam, you find an absent cremasteric reflex on the right side, bell-clapper deformity of the right testicle, and a small palpable lump on the superior pole of the right testicle. Your initial plan includes:
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