A 30 year old female patient presents with a 6 week history…
A 30 year old female patient presents with a 6 week history of recurrent headaches. The headaches wake her up at night. The Pain is severe, last about one hour and includes symptoms of lacrimation and nasal discharge. The physical examination is within normal limits and she is currently headache free. The most likely diagnosis is:
Read DetailsA 45 year old male presents to the clinic with a history of…
A 45 year old male presents to the clinic with a history of low back pain. During the evaluation he tells you that he has a new onset of loss of bowel and bladder control. Which of the following is the most likely diagnosis for which he should be immediately referred to the ER?
Read DetailsRob, 38 year old male patient, comes to the clinic with c/o…
Rob, 38 year old male patient, comes to the clinic with c/o of excessive worry and anxiety for the past 8 months related to the possibility of losing his job as several of his friends in the tech industry have recently lost their jobs. Rob often finds himself restless, especially at night. He has difficulty concentrating, and reports often ‘yelling” at his kids. Rob really feels like he needs help to get these symptoms under control. It will take 2 months for Rob to get in to see a psychiatrist that his best friend recommended. His PHQ-9 score is 16. Which of the following is the best next step to help Rob?
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