A 17-year-old girl reports five months of crampy lower abdominal pain during each of her menstrual cycles, with associated nausea and vomiting. The symptoms usually last for the first 2 days of each cycle. You diagnose her with dysmenorrhea. She is sexually active and states that she does not desire to become pregnant. She is […]

A 16-year-old boy with a history of type 1 diabetes mellitus presents to the clinic and reports a dog bite wound on his right anterior forearm. He explains that he was playing with his German Shepard and the dog bit his arm causing it to bleed. The dog is healthy and up-to-date with all its […]

KP is a 55 yo male (70 kg) with stage 4 CKD. He has been told to follow a renal diet. This diet should be electrolyte and protein controlled to prevent further renal decline. He also has a history of both type 2 diabetes and hypertension. When interviewed, the patient states that he does not […]

A 67-year-old man with a history of chronic constipation presents to the clinic with pain after defecating for the past 2 weeks. He explains to the clinician that the pain feels like he is passing broken glass, and there is some bright red blood in the toilet. He has had a colonoscopy within the last […]

A 45-year-old man with a history of type 2 diabetes mellitus, peripheral artery disease, and hypertension presents to the clinic for a routine visit. His recent labs show a total cholesterol of 200 mg/dL, low-density lipoprotein of 120 mg/dL, and high-density lipoprotein of 39 mg/dL. He is currently taking atorvastatin 20 mg daily. What is […]

E. L. is a 9-year-old female who presents to your office about a rash noted on her face. It was first noticed about two months ago, but seems to wax and wane in severity, and often is not noticeable. Her parents aren’t too concerned about it, but thought since it just never went away, they […]