Gloria is a 24-year-old female who visits the student health center complaining of unilateral headaches that she describes as throbbing. Gloria experiences these headaches 5-10 times per month, and an episode can last up to 24 hours. During the headache, she is sensitive to light. She feels better lying down alone in a dark room. […]

Stella is a 27-year-old transgender woman with a past medical history of HIV treated with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). Her most recent CD4 count was in the normal range, and her HIV viral load was undetectable three months ago. She takes estrogen supplements and testosterone blockers but has not had gender-affirming surgeries of any kind. She […]

 Jamie, 12 years old, diagnosed with autism spectrum disorder (pronouns: they/them). Complex Medical Concern: Jamie also has epilepsy, which requires daily medication and can lead to seizures. Service History: Jamie has received intensive applied behavior analysis (ABA) services to improve communication and social skills over the last year. Unfortunately, despite the team’s efforts, minimal progress […]

A 30-year-old married female and mother of two is seen in the outpatient mental health center with subjective complaints that her activities with family members seem dull or muted. During assessment she admits to the Psych NP that she often feels like she is merely “going through the motions” of her daily life. These findings […]

Mr. J.D., a 68-year-old male with a history of chronic heart failure (CHF) secondary to ischemic cardiomyopathy, presents to the emergency department (ED) with worsening dyspnea, orthopnea, and bilateral lower extremity edema. He reports a recent Thanksgiving celebration where he indulged in high-sodium foods, including ham, mashed potatoes with gravy, and canned vegetables. His symptoms […]

A mother presents with her 4-year-old daughter, Emma, with concern of left arm or shoulder pain. She denies any history of injury or trauma, but noticed Emma seems to be protecting her left arm and won’t extend it. This started after Emma was playing outside with her teenage brother, who built an obstacle course and […]

Ms. Allen, a teacher at Cherokee High School, noticed that one of the girls in the front row of her first period Biology class seemed to have red and teary eyes. Initially when she approached the student, Jean, she believed her to be crying and upset. When she questioned Jean, she found that her eyes […]

Mr. Jaxon is a 5 year old caucasian boy who presents for initial psychiatric evaluation accompanied by his mother. He is in kindergatten. Mom complains that she has been told he has ADHD and he is increasingly becoming disruptive, hyperactive, cantsit still, talks alot and screams for no reason. While pregnant with him, mom reports […]

ExplainA 50-year-old female patient is seen in the office, and she is treated for stage 3 of chronic kidney disease with essential hypertension. She is given a new prescription and will be seen again in 3 months. Identify and code the ICD-10-CM code(s) in this case, and explain how you arrived at your answer. how […]

A short-stay procedure H&P indicates a patient is coming for a left nephroureteral catheter exchange. The interventional radiologist performs the procedure and states that using the existing access, he places a guide wire into the kidney and removed the catheter. With the same access, over the guide wire the new nephroureteral catheter is inserted into […]