A 29-year-old male presents to clinic complaining of low back and perineal pain. He states it started a few days ago and he thought it would go away. Unfortunately, he states it has only gotten worse. He has had sweats and chills but has not measured his temperature. He states he has joint and muscle […]

A 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 […]

A 50-year-old woman presents to the clinic with reports of nausea and vomiting for 3 weeks. She states she received treatment with metoclopramide at another clinic 2 weeks ago, but her symptoms have become progressively worse. The patient also reports abdominal pain and early satiety. Her records indicate a 10-pound weight loss since her last […]

A 5-year-old patient presents for their annual well-child examination. History reveals that the patient snores loudly most nights of the week. Upon further discussion, you learn that the patient is a very sound sleeper, is a mouth breather, tends to be hyperactive at school, and reports headaches in the evening. Which parts of the history […]

A 27-year-old woman presents for her yearly gynecological examination. She has a history of bipolar disorder and has been euthymic for the last year on valproate. She recently got married and would like to conceive in the near future. Which of the following would you recommend to the patient based on your knowledge of bipolar […]

A 30-year-old woman with a history of a body mass index of 22 kg/m2, regurgitation, and pyrosis is following up in the clinic after 4 weeks. She explains to the clinician that she has significantly reduced her alcohol intake and takes her daily omeprazole as directed with minimal relief. Which of the following is the […]