The patient is a 71-year-old male who came into the hospital with a cough and sputum that had been getting progressively worse for over a week. The patient was diagnosed with COPD and Acute Pulmonary Embolus (CT scan). The patient currently lives at home with his family before coming into the hospital. The patient has […]

A 65-year-old Alaskan Native woman with a history of type 2 diabetes mellitus and hypertension presents for a wellness exam. She does not have any complaints, and the review of systems is negative. The patient states she has been taking her blood pressure and diabetes medications as prescribed. When discussing her social history, she reveals […]

A 34-year-old man presents to his primary care clinic for evaluation of chronic insomnia. His past medical history is significant for a motor vehicle accident that occurred over 1 year ago and led to chronic back pain. He reports that he is currently taking oxycodone 10 mg every four hours as needed for severe pain […]

A 35-year-old man with a history of long-term polysubstance use, including alcohol, cannabinoids, opioids, and hallucinogens, presents with hallucinations, paranoid delusions, apathy, and social withdrawal. The patient is admitted to a psychiatric unit and discloses that his symptoms have worsened over the past 6 months. Which substance is most likely to have precipitated this patient’s […]

Joanie, 60, post-menopausal, has developed urinary urge incontinence. She just can’t make it to the bathroom in time intermittently and finds herself leaking urine. Denies incontinence with coughing or sneezing. She has a history of multiparty, OSA (CPAP compliant), and constipation. a. Explain how constipation may contribute to urinary incontinence. b. How would you manage […]

 Sue, 22, is a college basketball player. She presents to the clinic with a concern for right knee pain, describing a rotational injury that occurred while her foot was planted on the basketball court. As her tibia seemed to rotate, she reported feeling a “popping” sensation and sound at the time of injury. a. What […]

Jim, 47, makes an appointment to establish care with you. While he is obese, with a very large waist size, and a high triglyceride count, your new patient has no other health issues and is only prescribed gemfibrozil 600mg bid to lower his trig levels. a. You are proactive and order a uric acid level. […]

  Jean Kelly has been feeling fatigue and had fever recently. Frequent and burning sensation when urinating is important as well. She has been feeing weak and her past medical conditions are Diabetes Type II, Hyperlipidemia, Hypertension, and Gout. Important Assessments to keep in mind is the high temperature as long as the high respiration […]

A 42-year-old patient with severe opioid use disorder (OUD) and schizoaffective disorder is admitted to the hospital for paranoid delusions and suicidal ideation. He is on maintenance pharmacotherapy for OUD with buprenorphine/naloxone film strips twice daily. What is the recommended strategy for his opioid use disorder at this time? A. Continue maintenance treatment as prescribed […]

P.M., a 24-year-old house painter, has been too ill to work for the last 3 days. When he arrives at your outpatient clinic, he seems an alert but acutely ill young man of average build, with a deep tan over exposed areas of skin. He reports headaches, severe myalgia, a low-grade fever, cough, anorexia, and […]