PM is a 43-year-old non-obese female newly diagnosed with rh…
PM is a 43-year-old non-obese female newly diagnosed with rheumatoid arthritis with poor prognosis. She has been experiencing symptoms for the past 4 months of joint pain in her first metacarpals. The only notable lab abnormalities are elevated liver function tests (AST/ALT) which are 3 times the upper limit of normal. Vitals are WNL. PMH: Past (10 years prior) alcohol abuse, cirrhosis, and hypertension Home medications: Amlodipine 5 mg PO daily Which of the following is the most appropriate initial therapy for PM?
Read DetailsMM is a 22-year-old male who has acute lymphoblastic leukemi…
MM is a 22-year-old male who has acute lymphoblastic leukemia. He is on the CALGB 10701 regimen (tyrosine kinase inhibitor, dexamethasone, vincristine, daunorubicin, methotrexate, etoposide, and cytarabine). Which test should be completed before and periodically during therapy to monitor for daunorubicin’s toxic effect?
Read DetailsAQ is a 52-year-old woman who presents to clinic for follow-…
AQ is a 52-year-old woman who presents to clinic for follow-up with her PCP to discuss worsening, severe hot flushes. She explains that she has to get up in the night and change the bedding, is unable to work a full day at her job at least once per week. In addition, she feels “moody and down in the dumps” most days of the week, for a couple of months now. Her health history includes hypertension, hyperlipidemia, Crohn’s disease, recurrent DVT and PE, and she did have a hysterectomy after her last daughter was born 21 years ago, due to complications. She reports that she is at a “point of desperation to feel like myself again”. Recognizing your expertise in the area of Women’s Health, AQ’s physician calls on you for a treatment recommendation. What do you recommend?
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