Case Study A 67-year-old patient with multiple medical problems is currently taking six prescriptions and several over-the-counter agents. The primary care physician has a concern about side effects; therefore, the patient is referred to a pharmacist for assessment and management of m edications. The pharmacist assesses the treatment and makes recommendations during the 10-minute face-to-face […]

A 49 year old woman was referred for a lipid evaluation by her dermatologist after she developed a papular rash over her trunk and arms. The rash consisted of multiple, red , raised lesion with yellow centers. She had no previous history of such a rash and no family history of lipid disorders or CHD. […]

Your patient, Mohammed, had a 6-week course of voice therapy for a moderate-sized polyp and a reactive lesion. While the reactive lesion showed significant regression, the polyp still remains. The laryngologist has recommended microlaryngoscopy in the OR for removal of this lesion. Mohammed is a small business owner and is very concerned about the 7-day […]

A male client leaves his job at a nearby restaurant and visits the health clinic where he is diagnosed with viral conjunctivitis. While receiving discharge instructions from the nurse the client states that he is feeling much better and plans to return to work for the afternoon shift. How should the nurse respond? A.advise client […]

A 26-year-old man of Native American origin presents with a three-month history of watery diarrhea occurring 4-5 times daily. Along with episodes of diarrhea, he experiences crampy abdominal pain, abdominal distension, and flatulence. He has not had any blood in his bowel movements, nor has he had any associated fevers, weight loss, nausea, or vomiting. […]

A 38-year-old unemployed woman with a history of injection drug use and frequent binge drinking presents to a hepatologist for a new diagnosis of hepatitis C. Five years ago she had a severe postpartum hemorrhage requiring transfusion of 4 units of packed red blood cells. She reports numerous sexual partners in the past, but has […]

A 61-year-old disabled woman with a history of long-standing depression presents to the emergency department with decreased level of consciousness and smelling of alcohol. Her sister reports she has long suffered from alcoholism and that earlier that day she had been complaining of abdominal pain. What clinical signs would be expected upon palpation of the […]

A cachectic 65-year-old woman is brought in by paramedics. She is believed to be homeless and was found unresponsive on the steps of the local public library. Her vital signs indicate a temperature of 100.0 °F, heart rate of 112 beats/min, and a blood pressure of 96/56 mmHg. On examination, scleral icterus and several spider […]

A 48-year-old executive, who is previously healthy, presents to his primary care physician with left-sided flank pain that he describes as gnawing and aching. His vital signs are normal. He finds it difficult to describe where the pain radiates, and holds his left flank, but says it hurts all over his left abdomen. He is […]

An 86-year-old woman presents to the emergency department with a one-day history of severe diffuse abdominal pain, vomiting, and one episode of bloody diarrhea. She has a history of coronary bypass surgery 20 years ago, atrial fibrillation, mild vascular dementia, and hypertension. She was taken off anticoagulation for her atrial fibrillation about one month ago […]