A 5-month-old female infant presents to the clinic for increased irritability, drooling, and an elevated temperature reported by the mother. The infant has a temperature of 99.2°F in the office, and the clinician notes the bilateral tympanic membranes to be intact and pearly grey. However, the infant’s gums appear red and swollen. Which of the […]

A 65-year-old woman presents to your office for evaluation of facial swelling that started this morning and is progressively worsening. On exam, you note swelling to her upper and lower lips, tongue, and her right eye. You also note generalized urticaria on her trunk. She currently has not had any difficulty breathing or swallowing. She […]

Judy is a 54-year-old divorced female with a lifelong history of schizophrenia. She has been stable on haloperidol 10 milligrams BID for the past 15 years. She lives in subsidized housing and receives public assistance. Her BMI is 22.4 and her last hemoglobin A1C is 6.6%. Her AIMS score is zero. She reports that she […]

Ms. T, an 18-year-old female from Missouri with cystic fibrosis, has been in southern California for 2 months. She was visiting Universal Studios in Los Angeles in January when she developed shaking, chills, fever and confusion and was brought to the hospital emergency department by her sister. She was hypotensive, dyspneic, tachypneic and hypoxemic with […]

 After being diagnosed with Type 2 diabetes, Nadia, a 19-year-old woman, visits a nurse coach for a first coaching session. Nadia states: “I had a feeling that my weight gain would affect my health but not on my sugar levels. My mom was diagnosed with Type 1 diabetes, and she is thin. I am confused! […]

 A 38-year-old man visits the coach’s office after being diagnosed with anxiety. During the session, the client says: “My work pace is accelerated; everything has a sense of urgency. I become impatient and preoccupied with the many things I need to do. My doctor prescribed anxiety medication. I read somewhere that breathing exercises work as […]

being diagnosed with Type 2 diabetes, Nadia, a 19-year-old woman, visits a nurse coach for a first coaching session. Nadia states: “I had a feeling that my weight gain would affect my health but not on my sugar levels. My mom was diagnosed with Type 1 diabetes, and she is thin. I am confused! Can […]

: Patient is a 36-year-old female. She went to the hospital after an extended period of severe weakness and fatigue. She was found to be in a severe hypothyroid state from autoimmune disease and was admitted for treatment. She stabilized but continues to be weak. She was transferred to a subacute unit for rehab and […]

A 4-year-old child is brought to the emergency department by his parents due to recurring stomach pain. The child’s pediatrician comes to the ED and decides he will perform a diagnostic procedure to identify the cause of the pain. The child is anxious and uncooperative, so the pediatrician decides to use moderate sedation to keep […]

A 7 yr old female complains of recent fever and ear pain with fullness of her left ear which has steadily gotten worse the past 3 days. Last night she took a dose of Tylenol before bed but was still unable to sleep due to pain. She has a hx of allergic rhinitis and is […]