Patient is a 62 yo AAM who presents for medication management via telehealth. He has a CC of ” I was in the hospital because of seizures caused by withdrawals from xanax”. Of note patient has history of benzo abuse. He report he has been buying xanax off the streets after he ran out.He reports […]

A nurse practitioner is assessing a 45-year-old White woman with a body mass index (BMIl) of 32 for a compliant of intermittent right upper quadrant abdominal pain over the past fen weeks that k precipitated by eating fried foods and peanut butter. On exam, the patient’s heart and lungs are normal. There is no pain […]

A 62-year-old male patient was seen by his family GP, presenting with low-grade fevers, night sweats, and fatigue for 3 weeks. The patient had a history of a heart murmur but had never undergone extensive evaluation. He had been in generally excellent health with normal exercise tolerance. Approximately 6 weeks ago, he underwent an uncomplicated […]

Roy, age 13, was recently diagnosed with epilepsy and prescribed carbamazepine for control of his seizures. He has developed erythematous papules, dusky appearing vesicles, purpura, and target lesions that have erupted rapidly and are more centrally distributed on the face. He has hemorrhagic crusts on his lips. He tells you his skin feels tender and […]

You are seeing a 64-year-old female whose complaints include cramping in her lower abdomen that is only relieved by defecation. She says that the pain “tends to come and go” and that she often experiences heartburn and fatigue. She adds that her bowel habits sometime alternate between constipation and diarrhea. As you perform the examination, […]

A 70-year-old man with no PMH presents to a clinic with a rash on his hands and feet. He states that the rash began a few months ago and consisted of purple plaques found on his hands and ankles. He states that the rashes are occasionally itchy but are not painful at all. He is […]

A 17-year-old black male presents with a 6-month history of spots of loss of coloration of his skin that are becoming larger and more numerous. He denies use of any medications, either topical or systemic, as well as any illnesses predating the onset of skin lesions. The lesions are not pruritic. They do not tan, […]

A 6-year-old patient presents to the clinic with a generalized rash that has been present for 5 weeks. Pruritus was minimal, has now resolved and the patient has been afebrile. The caregivers noted that the rash began as a single lesion on the abdomen that grew as the rash progressed to the back and trunk. […]

The number one risk factor that Mr. Jones had to acquire Clostridium difficile infection is his recent antibiotic use. Majority of the cases of C. diff arise while taking antibiotics or shortly after taking them. Mr. Jones is a 69-year-old man who was admitted to the hospital 10 days earlier with a diagnosis of acute […]

The patient is a 49-year-old male who presented in ED with burns that occurred about one hour ago. I was called in to examine this patient. Patient was about to burn brush, but, unknown to him, the brush was doused with gasoline and exploded when he lit it. His shirt was on fire and he […]