AD is a 26-year-old male who presents to your clinic with a…
AD is a 26-year-old male who presents to your clinic with a diffuse skin rash and lymphadenopathy. A brief social and medical history discussion reveals that he has had multiple male partners over the past year and a single painless, non-purulent penile lesion approximately 3 months prior to the rash appearance. He did not seek treatment of this initial episode. He has no other medical conditions or medications and no known drug allergies. Your team orders serology and blood tests to determine the likely cause. Which of the following is the correct diagnosis and treatment at this time?
Read DetailsLN is a 45-year-old male who frequently visited shelters thr…
LN is a 45-year-old male who frequently visited shelters throughout the country and admitted to your hospital unit with fevers, chills, weight loss, and night sweats. LN was found to have active TB and his physicians would like to start him on rifampin, isoniazid, ethambutol, and pyrazinamide. As the astute pharmacist on the unit, what treatment/monitoring plan should you recommend related to the antibiotics regimen?
Read DetailsPF is a 69-year old female who presents to the ED with diffi…
PF is a 69-year old female who presents to the ED with difficulty breathing, and a productive purulent cough. CXR reveals ground glass opacities, and the patient is diagnosed with pneumonia. PMH: HTN, rheumatoid arthritis, no recent hospital admissions or antibiotic use. VS: Temp 101.4˚F, BP 108/54, HR 104, RR 40; LABs: BUN 26 mg/dL, SCr 1.7. Which of the following is the best recommendation?
Read DetailsBW is a 44-yo transgender male who presents to his PCP with…
BW is a 44-yo transgender male who presents to his PCP with a cough productive of purulent sputum and pain on inspiration. BW reports a history of fever, shortness of breath, and malaise. CXR reveals a right upper lobe infiltrate. The patient is diagnosed with community-acquired pneumonia and determined he will be treated on an outpatient basis. No hospitalizations or antibiotic exposure in the past 3 months. PMH: gender dysphoria. Meds: testosterone, spironolactone. Which of the following is the best recommendation?
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