Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a week over the past 3 months. Her symptoms are worse at night after going to bed. Her heartburn is worse and she coughs a lot at night. She has tried OTC Prevacid 24 hour once daily for the past 2 weeks. […]

A 70-year-old male patient with erectile dysfunction (ED) has been unable to produce an erection that is adequate to perform sexual intercourse. The patient has a history of diabetes and hypertension that are controlled with medication. He smokes 1 pack per day and drinks 5 standard drinks daily. Which of the following statements about the […]

Mary is a 35-year-old woman that has been diagnosed with hypothyroidism. Her labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, TIBC 418. She has a history of iron deficiency anemia for 2 months. Current medications include Kelp tablets daily, ibuprofen 400 mg daily as needed, and ethinyl estradiol/norgestrel one tablet […]

A 65-year-old female presents to the clinic to seek a repeat prescription for her pain medication. She had a motor vehicle collision (MVC) 8 months ago that left her with chronic neuralgia in bilateral arms along with lower back pain. She was prescribed oxycodone/acetaminophen 7.5/325 mg q6 hours. Her last scheduled refill was 20 days […]

A 29-year-old man is brought to the emergency department for abnormal behavior. He is confused and unable to provide history. He was found outside yelling at the sky. His blood pressure is 150/90 mm Hg, pulse is 110 bpm, temperature is 100.5 °F, and respiratory rate is 22 breaths/min. On exam, he appears to be […]

 A 56-year-old teacher complains to her family physician that she has been having trouble reading and correcting papers, as her eyes quickly become tired; she has also noticed that lately she has had some difficulty swallowing and she has been unable to exercise because she feels “weak.” After a month or so the conditions seem […]