A 22-year-old woman presents to the clinic with periorbital and forehead swelling and intensely pruritic, erythematous wheals on her face and chest. She says the symptoms began 4 hours ago, approximately 45 minutes after taking ibuprofen for a headache. She reports no other symptoms. Her airway is patent, and her vital signs are within normal […]

A 16-year-old boy with a history of type 1 diabetes mellitus presents to the clinic and reports a dog bite wound on his right anterior forearm. He explains that he was playing with his German Shepard and the dog bit his arm causing it to bleed. The dog is healthy and up-to-date with all its […]

KP is a 55 yo male (70 kg) with stage 4 CKD. He has been told to follow a renal diet. This diet should be electrolyte and protein controlled to prevent further renal decline. He also has a history of both type 2 diabetes and hypertension. When interviewed, the patient states that he does not […]

A 67-year-old man with a history of chronic constipation presents to the clinic with pain after defecating for the past 2 weeks. He explains to the clinician that the pain feels like he is passing broken glass, and there is some bright red blood in the toilet. He has had a colonoscopy within the last […]

A 45-year-old man with a history of type 2 diabetes mellitus, peripheral artery disease, and hypertension presents to the clinic for a routine visit. His recent labs show a total cholesterol of 200 mg/dL, low-density lipoprotein of 120 mg/dL, and high-density lipoprotein of 39 mg/dL. He is currently taking atorvastatin 20 mg daily. What is […]

E. L. is a 9-year-old female who presents to your office about a rash noted on her face. It was first noticed about two months ago, but seems to wax and wane in severity, and often is not noticeable. Her parents aren’t too concerned about it, but thought since it just never went away, they […]

A 29-year-old male presents to clinic complaining of low back and perineal pain. He states it started a few days ago and he thought it would go away. Unfortunately, he states it has only gotten worse. He has had sweats and chills but has not measured his temperature. He states he has joint and muscle […]

A 67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area […]

A 50-year-old woman presents to the clinic with reports of nausea and vomiting for 3 weeks. She states she received treatment with metoclopramide at another clinic 2 weeks ago, but her symptoms have become progressively worse. The patient also reports abdominal pain and early satiety. Her records indicate a 10-pound weight loss since her last […]

A 5-year-old patient presents for their annual well-child examination. History reveals that the patient snores loudly most nights of the week. Upon further discussion, you learn that the patient is a very sound sleeper, is a mouth breather, tends to be hyperactive at school, and reports headaches in the evening. Which parts of the history […]