Brief Summary: Joe Hernandez is a 58-year-old man with known history of STIs who was diagnosed with HIV approx. 5 years ago. He has been divorced for 10 years, has two daughters, and was working in construction. Recently he was fired due to frequent infections, especially pneumonias requiring hospitalizations of 2-4 days at a time. […]

What physiologic complications of CKD does Dean exhibit? Dean is a 33-year-old African American male who presents to the hospital with reports of experiencing progressively worsening shortness of breath and weakness over the past 3 months. He attributes his fatigue to having a newborn child at home and studying for the bar exam. Three days […]

The PMHNP is treating a 33-year-old female with a diagnosis of Major Depressive Disorder. She presents to medication follow up on 50mg daily Zoloft, which has been efficacious for 2 months. The patient is adherent to regimen. Substance abuse screening is negative. She presents with pressured speech and labile affect, saying she has recently invested […]

The PMHNP is treating a 42-year-old woman who primarily has had episodic bipolar depression, with last manic episode occurring approximately 8 years prior. She is sexually active and taking oral birth control. The patient has been taking Trileptal 300mg twice daily for one year, and has had unremitting anergia, dysphoria and middle insomnia. Which of […]

A 26-year-old pregnant client with Type II Diabetes and a history of Bipolar I Disorder is 3 months out from her due date and has been taking her usual dose of 150mg daily Lamictal throughout pregnancy. She reports to the PMHNP at medication follow up that she has felt extremely depressed, beginning one month ago […]