A 7-month-old girl presents to the ED with jaundice. Her parents report her pediatrician is also concerned about her delayed growth and development. On exam, the child is fussy but able to be consoled by her parents. Her spleen is palpated below the left costal margin, and she has abdominal distention without ascites. A peripheral […]

A 64-year-old man presents to the clinic for a laboratory follow-up. The patient has multiple comorbidities, including hypertension, coronary artery disease, chronic kidney disease, diabetes mellitus, and osteoarthritis. His laboratory studies show a hematocrit of 32%, a hemoglobin of 10.5 g/dL, a total iron level of 48 mcg/dL, a total iron binding capacity of 300 […]

A 42-year-old woman presents with weakness and drooping on the right side of her face. Her husband noticed the sudden changes in her facial features last night. She has difficulty closing her right eye but can do so with effort. She has had a headache off and on for a week that resolves with acetaminophen. […]

A 15-year-old girl presents to your office with her father for her annual physical. During the course of the visit, the patient’s father asks her if she has a boyfriend. The patient responds, “No,” but you suspect that she may be lying. Which of the following would be the best way to offer confidentiality to […]

Josh is a 17-year-old male who presents to your clinic with self-esteem issues. He is currently on a SSRI for depression. Upon talking to the patient, you find his acne has caused issues with his social life which contributes to his depression. Based on your visualization, his acne is prominent with many comedones, presence of […]

Mr Orozco a 35 year old male, presents to the emergency room with complaints of shortness of breath and chest pain persisting for the past month. He rates his chest pain as 4/10 and is alert and oriented X 4. Mr. Orozco denies any allergies, medications, medical or surgical history, and has not previously sought […]

A 30-year-old man was recently started on a selective serotonin reuptake inhibitor with symptoms of depression and now follows up with his clinician to discuss stress at work. He was recently promoted and states ‘It wasn’t a big deal, I was due to promote anyway.’ His clinician begins the encounter by asking him to describe […]

Mr Orozco a 35 year old male, presents to the emergency room with complaints of shortness of breath and chest pain persisting for the past month. He rates his chest pain as 4/10 and is alert and oriented X 4. Mr. Orozco denies any allergies, medications, medical or surgical history, and has not previously sought […]

Mr Orozco a 35 year old male, presents to the emergency room with complaints of shortness of breath and chest pain persisting for the past month. He rates his chest pain as 4/10 and is alert and oriented X 4. Mr. Orozco denies any allergies, medications, medical or surgical history, and has not previously sought […]

Mr Orozco a 35 year old male, presents to the emergency room with complaints of shortness of breath and chest pain persisting for the past month. He rates his chest pain as 4/10 and is alert and oriented X 4. Mr. Orozco denies any allergies, medications, medical or surgical history, and has not previously sought […]