You are examining a healthy 58 year old male as part of a routine annual physical and note a systolic murmur on exam. How would you decide if an echocardiogram is indicated to further evaluate the murmur (0.5 points)? In your response, please include at least three things that would lead you to order an echo in this case (1.5 points).
Read DetailsMom of a 10-year-old patient in your practice, Jack, calls with concerns. Teachers at school are asking for Jack to be assessed for ADHD. After a history review, behavioral ratings from both parents and teachers, an office visit for physical exam, and consideration of differential or other comorbidities, you diagnose ADHD. You add a consult for behavioral therapy and your first medication recommendation is:
Read DetailsJennifer is a 42 year old female well-known to your practice. In the last 10 months she has presented at least once/month with diffuse abdominal pain. The pain is rated as severe, she has quit her job related to the symptoms. All medical evaluation has been negative including: xray, CT scan, ultrasound, and colonoscopy. Today she states she is checking her blood pressure and pulse multiple times daily and is highly anxious in the office. You consult psychiatry and consider a diagnosis of:
Read DetailsA 45-year-old woman was diagnosed 6 months ago with acute hepatitis B. She is unaware of how she contracted the virus. She takes no medications and since the diagnosis has started taking a multivitamin and begun to exercise. She now has the following serologies: HBsAg: negative anti-HBsAg: positive HBeAg: negative anti-HBcAg: positive Which of the following is your interpretation of those results?
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