A 68-year-old male presents today for laser coagulation of the prostate due to urinary retention with urgency and difficulty urinating. Procedure: The patient was placed on the operating table in the lithotomy position. Spinal anesthesia was administered, and external genitalia was prepped and draped. A 21-French cystoscope was introduced into the bladder. Upon inspection, there […]

Naara Maize, a 19-year-old college student, hit a tree while driving and suffered a minor concussion. No other cars were involved, and the weather was clear. An emergency medical technician suggested that Naara be evaluated for possible absence epilepsy. After an extensive workup, a diagnosis of epilepsy was made. If Zarontin is not effective in […]

The patient is a 37-year-old obese male who underwent a laparoscopic gastric banding surgery one year ago. The patient presents to the emergency department complaining of persistent nausea, vomiting, weakness, and epigastric abdominal pain. Imaging studies were performed, which revealed probable malposition of the gastric band. The patient consented to the removal of the band. […]

A 32-year-old man presents with left ear pain that began while vacationing at the beach. Physical exam reveals a swollen ear canal and pain with movement of his tragus. Which of the following is the most likely pathogen? H. influenzae M. catarrhalis P. aeruginosa S. pneumoniae

A 32-year-old man who works as a landscaper presents to the clinic after feeling that something blew into his eye while he was working. He now has a foreign body sensation in his left eye and tearing. Examination with a slit lamp does not reveal an obvious foreign body. Which of the following is the […]

A 25-year-old man presents to your office with rhinorrhea and a sore throat that you believe to be viral in origin. He respectfully requests treatment with antibiotics, and he demonstrates an understanding of the risks, benefits, and alternatives to treatment. His mental status is intact, and you believe him to have full decision-making capacity. Which […]

A 58-year-old woman presents to your office with complaints of headache, a temperature of 101.1°F, anorexia, and morning stiffness in her hips and shoulders. She indicates that this morning her vision was blurry, whereas yesterday it was normal. Which of the following is the most appropriate next step in management? Administration of 60 mg of […]

3-year-old female brought to the emergency department by parents after a visit to the pediatrician earlier for generalized edema, fatigue, and frothy urine. History of upper respiratory infection 2 weeks prior. No significant past medical or surgical history. Immunizations up to date. Playful but fatigued easily. Moves all extremities well. Moderate generalized edema, severe periorbital […]

sickle cell anemia case study 89 Provide a definition of the pathophysiology to the cellular level and link to the most common signs and symptoms. Explain the pathophysiologic and anatomic features involved. What are predisposing conditions and risk factors? genetics gender ethnicity age behavior List discriminating features you would find in the history and physical […]

Patient’s groin pain inc 68-Year-Old Male with Skin Lesion Student’s Name Institution Affiliation Course Name Professor Date Domain: History 1a) Identify two additional questions • Have you been exposed to chemicals or irritants during your work or while at home? • Apart from the skin lesion, have you noticed any other abnormal patches on your […]