A 30-year-old woman presents to the clinic with reports of epigastric pain over the last 3 months. The patient describes the pain as burning, especially 2 hours after a meal. The clinician suspects that the patient’s symptoms are due to an infection. The patient has no known allergies. In addition to a proton pump inhibitor, […]

A 28-year-old woman has recently developed severe mood swings, depressed mood, anhedonia, and suicidal ideation. She also has episodes of irritability, racing thoughts, and insomnia. She has Crohn disease and has been taking daily prednisone for the past 4 weeks. She has no past psychiatric history. Using the fifth edition of the Diagnostic and Statistical […]

A 35-year-old man pulled out of a burning building was found unconscious and severely injured. He was transported to the nearest emergency department. Upon arrival, he is stabilized and evaluated for burns and trauma. Approximately 40% of his body is covered in burns. The burned areas appear blackened and charred, but the skin is primarily […]

A 49-year-old woman presents to the emergency department by ambulance after developing “crushing” chest pain and palpitations. Past medical history is significant for hypertension, hyperlipidemia, and obesity. She takes chlorthalidone, lisinopril, atorvastatin, metformin, and an oral contraceptive every day. She works as a lawyer, and her job is stressful. She drinks wine with dinner every […]

A 29-year-old man is outside his home doing yard work when a bee stings him in the right arm. Within 10 minutes, he reports shortness of breath and multiple circular, pruritic bumps on his right arm. He drives to his healthcare provider’s office for evaluation. His past medical history is significant for hypertension for which […]

  L.M., a 23-year-old female who is sexually active but not pregnant, makes an appointment with the NP for an in-office visit because she is experiencing discomfort while urinating, abnormal vaginal discharge, and unpleasant sexual relations. She states that there appear to be irregularities in her menstrual cycle, including bouts of bleeding in between. L.M. […]

A 56-year-old female presents with complaints of “tingling pain on my left side” x 3 days with associated tenderness when clothing rubs the area. This morning she felt some small bumps along her flank. Recent history includes an upper extremity fracture injury a few weeks back with reports of a “difficult recovery” as “very stressful […]

The client is a 42-year-old unmarried Caucasian (Italian American) male who is currently unhoused. He presents for services as referred by his Parole Officer (PO) due to history of receiving mental health services prior and during incarceration (with services estimated to be the last six (6) years, according to Probation/Parole records. The client is also […]

A 7-year-old boy presents to your office as a new patient. While reviewing his previous records, you determine that he only received one varicella vaccine when he was 4 years of age. His history is negative for primary varicella infection. Which of the following is the best next step for this patient? Administer a dose […]

A 7-year-old boy presents to your office as a new patient. While reviewing his previous records, you determine that he only received one varicella vaccine when he was 4 years of age. His history is negative for primary varicella infection. Which of the following is the best next step for this patient? Administer a dose […]