John, a 43-year-old patient previously diagnosed with chroni…
John, a 43-year-old patient previously diagnosed with chronic low back pain comes to you for renewal of his opioid medication. When reviewing John’s medication use, you note that he takes his pain medication as prescribed and has had significant reduction in his pain level. He attends physical therapy routinely and is able to continue to work and function independently. On a recent vacation with his family, John ran out of opioid medication during the last 7 days of the trip. He states that he continued to function, but did begin to feel anxious and a sense of “craving” by the time he returned home. He is quite concerned with this, as he is afraid he may have become “addicted” to his pain medication. Based on your knowledge of addiction, you advise John that:
Read DetailsA 35 year old male presents to the family practice clinic w…
A 35 year old male presents to the family practice clinic with a gradual onset of pain located posteriorly on his left testes. The pain sometimes radiates up to his abdomen but not always. He does report pain with intercourse and some penile discharge. He denies fever, increased urinary frequency, and urinary urgency. What is his diagnosis today?
Read DetailsA patient presents with a 3 week history of difficulty falli…
A patient presents with a 3 week history of difficulty falling asleep. She has difficulty concentrating at work and the thought of a poor night’s sleep is causing new anxiety. She created a “sleep diary” with data from the last 3 weeks. After a physical exam and ruling out recent medication change or other medical conditions, your first recommendation is a:
Read DetailsA 32 year-old male patient presents to your clinic with the…
A 32 year-old male patient presents to your clinic with the complaint of scrotal enlargement and a “feeling of dull, aching pain” in the scrotum. Upon exam you note that one side of his scrotum has a mass that feels like a bag of worms. This finding on what part of the scrotum would that prompt you to order a CT with contrast of the abdomen to rule out other pathology.
Read DetailsAs a result of an internal risk assessment, Allstate Insuran…
As a result of an internal risk assessment, Allstate Insurance decided it was not profitable to provide hurricane insurance in the state of Florida. Allstate apparently chose to ________ the risk of paying hurricane claims in Florida.
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