Mrs. J, a 54-year-old female, slipped and fell doing the groceries and fractured her left wrist. On discharge from hospital, her GP referred her for a DEXA scan (type of medical imaging test that uses low levels of x-rays to measure how dense your bones are) of her spine and hip which indicated a T […]

  1. Case Scenario 1 Table 1 Define: Perimenopause “Period preceding final menstrual period by 8–10 years, usually occurring between 48 and 55 years of age” (Alexander, 2027). Menopause “Point in time occurring 12 consecutive months after natural cessation of menses, 51 years” (Alexander, 2027). Postmenopause “Period following menopause, commonly associated with symptoms attributable to […]

An 85 year-old man was admitted to the hospital for hip fracture due to fall at home. He lives alone and had been incapacitated for 24 hours before a neighbor checking on him called for medical help. After examination and testing, the bone scan showed abnormal densities in the right ilium and additional hot spots […]

A 55-year old male presents with hyperlipidemia presents for a follow up visit. As part of the evaluation you calculated his ASCVD risk score to be 27% and LDL is 110 mg/dL and TG is 90 mg/dL. He is currently taking Atorvastatin 40 mg QD. What is the next step in the management of hyperlipidemia? […]

A 59-year-old man in generally good health presents for his yearly health exam. He has no complaints. His family history is significant for acute myocardial infarction, of which his father died at age 38, and angina, which his brother has. He does not smoke and drinks alcohol socially. His blood pressure is 129/84 mm Hg. […]

A 40-year-old man presents to his primary care NP for high cholesterol levels. Six months ago, at his last clinic visit, he was found to have high levels of LDL cholesterol. Since then, he has tried to change his diet and exercise more frequently but admits that this has been difficult for him. He reports […]

the patient, a 40 year old male, was diagnosed with acquired hemolytic anemia, autoimmune type with warm-reactive antibodies (warm type), and has been treated with glucocorticoids (prednisone). The patient failed to respond to this medication, so it was stopped two months ago. The patient is also under treatment for systemic lupus erythematous. Given the agressive […]

The patient, a 40-year-old male, was diagnosed with acquired hemolytic anemia, autoimmune type with warm-reactive (IgG) antibodies (warm type) and had been treated with glucocorticoids (prednisone). The patient failed to respond to this medication, so it was stopped two months ago. The patient is also under treatment for systemic lupus erythematosus. Given the aggressive nature […]

A 52-year-old male client is admitted to the medical-surgical unit with a 3-day history of sharp, nonradiating epigastric pain and vomiting. He tells the nurse that he hasn’t seen any blood in his stool and that he usually drinks a six-pack of beer a day. In trying to pinpoint the cause of the client’s pain, […]

A patient is currently taking extended-release morphine 30 mg every 12 hours with immediate-release morphine 10 mg every 1 to 2 hours PRN. You notice that in the last several days the patient has taken on average eight doses of his immediate-release morphine every 24 hours. What should be your next step? Discuss increasing the […]