A 56-year-old man experienced fever, chills, headache, sore throat, and malaise. Symptoms progressed to difficulty in breathing, night sweats, nausea, and vomiting. He went to the hospital after 3 days. At admission, he was afebrile, and his heart rate was 100 beats per minute. Physical examination found decreased breath sounds and rhonchi. His complete blood […]

HPI: AJ is a 35 year old Caucasian female who presents to the emergency 39 room with a chief complaint of “profuse diarrhea” for the last 24 hours. She states that her symptoms began after she ate some left-over pizza from her recent birthday party. She denies any alcohol consumption or recreational drug use. She […]

34 Ms P is a 37 year old female who is taking methimazole for treatment of Graves ‘ Disease . Which of the following statements by Ms P demonstrates that she understands the education that was provided to her regarding this medication ? A. ” cannot eat grapefruit or drink grapefruit juice while taking methimazole […]

Monika Samper, a neonatal intensive care unit (NICU) nurse at Providence St. Vincent Medical Center (Providence) had a condition that limited her sleep and caused her chronic pain. She never worked full-time but still had more unplanned absences than Providence allowed for full-time employees. Providence allowed Samper to call in when having a bad day […]

Soap template for Mrs. B, a 47-year-old female, presents with CC of chronic fatigue and excessive sleepiness. She reports these symptoms began following the death of her husband, but have significantly worsen over the past six months. She has had to stop her regular walking routine due to lack of energy and has been falling […]

 Jamie is a 1-year-old girl who is coughing and has had rhinorrhea with yellowish discharge for the past day. Her father says today he felt like she had a fever and has not been eating or playing; she has been mostly sleeping. Her 5-year-old sibling has had a cold for a week. Medications: none. Allergies: […]

A 14-year-old boy presents to the clinic with his parents to discuss his weight loss. The patient’s parents explain that he consistently argues with them about eating and does not eat any of the meals he is provided. The patient states, “I feel fat and disgusting.” On exam, the patient’s body mass index is 16 […]

A 15-year-old girl presents to urgent care with a nonproductive cough and low-grade fever that developed insidiously over the previous week. Physical exam reveals diffuse rales on pulmonary auscultation, and chest X-ray shows diffuse non-focal infiltrates. Which of the following is the most accurate statement regarding this patient’s condition? Extrapulmonary manifestations may include hemolysis and […]

A 38-year-old woman reports that she has a low sex drive, and for the past few years, she has not had an orgasm. She experiences desire and arousal but does not reach an orgasm. She had never had many orgasms with her husband and feels uncomfortable performing masturbation. She reports this is not bothersome to […]

A 17-year-old girl reports five months of crampy lower abdominal pain during each of her menstrual cycles, with associated nausea and vomiting. The symptoms usually last for the first 2 days of each cycle. You diagnose her with dysmenorrhea. She is sexually active and states that she does not desire to become pregnant. She is […]