Mr. Manuel Sanchez resides in the memory unit of a skilled nursing facility due to his dementia. He is very active and likes to walk throughout the unit. However, he will occasionally enter another residents’ room and sometimes will trip over furniture. Mr. Sanchez is on a number of psychotropic drugs that his adult son, […]

Ralph is a 50-year-old cisgender man with a past medical history of HIV currently treated with abacavir/dolutegravir/lamivudine (ABC/DTG/3TC). His last CD4 count was 480 cells/mm3, and his last viral load was undetectable about 3 months ago. Last year, he was diagnosed with herpes simplex virus-2 (HSV-2) after noting painful penile lesions. He took valacyclovir 1 […]

67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area was […]

Ariel, a 25-year-old woman who works in the lab with you has severe rheumatoid arthritis and is receiving anti-TNF monoclonal antibody therapy to immunosuppress her autoimmune response. Unfortunately, this therapy causes generalized immunosuppression. Ariel was gardening on Saturday and cleaned up the very back part of her yard that contained rotting apples and leaves that […]

DM is an 8-year-old boy who presents today with his mother for a psychiatric evaluation. The Patient was referred by PCP as current meds do not manage his ADHD symptoms. Per the mother, the patient continues to have difficulty sitting still, struggles with homework, gets easily frustrated, yells and screams at home, and can be […]

The patient is a 41 year old Type 2 diabetic patient who has been treated with corticosteroids for severe inflammatory bowel disease (IBD) for the past few months. Recently he has had a “normal” fasting blood glucose levels, but progressively elevated pre-lunch and pre-dinner glucose levels. Which of the following would be the most appropriate […]