A 32 year old male with type 2 diabetes takes regular insulin with meals and a basal insulin in the evening. he has recently been playing rugby every afternoon and has noticed a drop in his blood glucose to levels below 50 mg DL in the early hours of the morning just before breakfast he […]

A 58 year old Caucasian woman with a history of hypertension and type 2 diabetes mellitus presents for a routine physical exam she has a family history of coronary artery disease in her mother and sister she smokes half a pack of cigarettes per day and drinks alcohol socially her blood pressure is 138/80 mm […]

an 8-year-old female and previously good health presents to the clinic with her mother who said she has been losing weight despite an increase in appetite she has also been very thirsty according to her mother the patient’s mother stays the symptoms became pronounced a few days ago when the child was suffering from cold […]

A 73 year old patient presents for follow-up in the clinic after receiving 25 MCG of Levothyroxine for the past 2 weeks due to a diagnosis of hypothyroidism they State they are tired and sluggish despite taking the medication consistently as prescribed they are concerned that their symptoms have not improved what is the best […]

a 44-year-old male presents reporting a 45 lb weight gain over the past year physical examination reveals 280 lb 5 ft 11inches male with central obesity physical exam reveals fat accumulation in the interscapular area and prominent vertical purple stripe on the abdomen fasting blood glucose is 208 mg/d l plasma levels of act and […]

A 42 year old man with a history of hyperlipidemia obesity hypertension and type 2 diabetes mellitus is evaluated in the primary care clinic with fatigue that has lasted for one year he states that about a year ago he changed jobs and was feeling very stressful adjusting to his new position eventually things settled […]

Rob Ivey, a 25-year-old mechanic, has an appointment with his primary physician today because of seeing blood in his urine. The healthcare professional admitted Mr. Ivey to the exam room and requested a urine sample. Mr. Ivey had a difficult time getting a urine specimen. After the physician examined Mr. Ivey and assessed the results […]

a 70-year-old male patient has a fracture of the right hip from a motor vehicle accident. The orthopedic surgeon decides to perform surgery to correct the fracture to prevent complications and allow early rehabilitation. Which type of surgery and stabilization will be performed on this patient? Refer to the figure. Question 2 options: external fixation […]

A 73 year old woman with a history of diabetes hypertension and hyperlipidemia presents to the emergency department with weakness approximately 3 hours before arrival she experienced left-sided weakness facial weakness and impaired vision for about 5 minutes with spontaneously resolved on initial evaluation the patient’s heart rate is 80 beats per minute and normal […]

Manuel is a 13 year old boy with moderate intellectual disabilities. He receives home health services, like PT, OT, and Speech, in the home setting. Neither of the parents speaks English and, therefore, Manuel’s older sister serves as the translator when communicating between provider and parents. Assess cultural strengths and liability in terms of wellness […]