A 57 year-old male presents for a visit to his primary care…
A 57 year-old male presents for a visit to his primary care physician. He is s/p MI 2 years ago but complains of chest pain 1-2 times a month. He has needed 15 nitroglycerin tablets to control the chest pain in the past week. Which of the following conditions should be highest on the differential diagnosis for this patient?
Read DetailsA crescendo-decrescendo, grade I/VI, early systolic murmur i…
A crescendo-decrescendo, grade I/VI, early systolic murmur is found in an asymptomatic patient. It is best heard in the left 2nd ICS and along the left sternal border when supine. It does not radiate and disappears with sitting. Which of the following is the most likely diagnosis?
Read DetailsGL is a 48 year-old Hispanic female with a PMH of CAD- s/p s…
GL is a 48 year-old Hispanic female with a PMH of CAD- s/p stent placement 6 months ago, Hypertension and Hyperlipidemia. She has been compliant with Rosuvastatin (Crestor) 40mg 1 tab daily and lifestyle modifications for the past 6 months. Today her fasting lipid panel shows Total cholesterol= 230mg/dl, LDL level=100mg/dL, HDL=40mg/dL and TG=120mg/dL. Based on the ACC/AHA 2018 lipid guidelines, what is the BEST treatment recommendation for this patient?
Read DetailsA 60-year-old woman is found to have an elevated serum calci…
A 60-year-old woman is found to have an elevated serum calcium level on routine lab work. LMNP 10 years ago. CBC, CMP, TSH, and urinalysis are within normal limits. She has no other active medical problems. Follow up labs reveal a low parathyroid hormone level. What is the next best step in evaluating this patient’s hypercalcemia?
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