A 58-year-old female patient is complaining of increased gastric distress over the past 4 weeks. One week ago, she had an abscessed tooth and has been taking 600 mg of ibuprofen 3 times a day for the discomfort. She is also self-treating with Maalox but only is giving her short-term relief. She has recently started […]

Mrs. Seattle is 63 years old female who is recently admitted to along term care facility. she is ambulatory, and able to perform self-care a few months ago but transitioned to the long-term care facility after several falls in her home, with the latest one resulting in a fractured right hip. Mrs. Seattles does require […]

A 16-year-old patient that identifies as a Jehovah’s Witness refuses any transfusions prior to a surgical procedure. The caregivers are also Jehovah’s Witnesses and agree with the patient’s decision. The patient and the caregivers express an understanding of the potential consequences of the decision. The surgery is a low-risk elective procedure. However, during surgery, the […]

A 15-year-old female presents for evaluation for painful menstrual cycle. She has a history of migraines with aura. She had her first menstrual cycle at the age of 12 years. Over the last few years, each period has lasted 6-7 days and occurs once every 29 days. Over the last 6 months, she has experienced […]

A 12-year-old female presents with a caregiver who is worried that the child has not developed breasts. The caregiver says that in their family, every female had menarche by age 12. The adolescent eats a well-balanced diet and is generally healthy. On exam, the child is in the 25th percentile for height and the 10th […]

A 9-year-old boy presents with weight loss, blood-streaked stools, and abdominal pain. He has also been having diarrhea and anal itching. His physical exam reveals a temp of 37.2°C (99° F), HR of 85, and BP of 111/67. His abdominal pain is 6/10 and he exhibits some voluntary guarding. The patient enjoys playing in the […]

A 17-year-old female reports heavy menstrual bleeding characterized by the passage of “clots.” Her current menstrual period has lasted 9 days. Her last menstrual period was 3 months ago. Menarche was at age 15, and she has no significant past medical history. On examination, she is afebrile, blood pressure is 110/70, BMI is 33, and […]

A 17-year-old female presents to your clinic with her mother for evaluation of vomiting. A quick review of her chart reveals that she is sexually active and uses oral contraceptives for birth control. You enter the room and she reports that nausea and vomiting occur mostly in the mornings for the last three days. She […]

A 14-year-old boy comes in for evaluation. The patient has been experiencing severe sore throat, cervical lymphadenopathy, malaise, and low-grade fever. According to the caregiver, he was seen at an urgent care clinic one week ago, diagnosed with strep throat, and given a prescription for ampicillin. However, the caregiver is concerned because the symptoms have […]

Mrs. Mirza has been prescribed the below two interventions. – Briefly explain/provide rationale why each of these two (both) interventions are prescribed for Mrs Mirza using pathophysiological linking and appropriate evidence – Discuss briefly the specific mechanism of action of the medication and relate the medication to the underlying pathophysiology – Describe briefly the impact […]