Your patient has taken Warfarin without any trouble for years. He is being seen today for a large hematoma on his leg. He says he just “brushed” the coffee table this morning. You take a complete medication history and find that he began taking Pepto-Bismol; for a GI “bug” for 3 days ago. You suspect […]

A 19-year-old female presents to the college infirmary where you work. She is complaining of scratchy eyes, blurred vision, and a headache. She states that her nose has been running and her eyelids have been stuck together in the mornings. This started while she was home on spring break. She used “some eye drops with […]

38 weeks pregnant admitted to the hospital due to irregular contractions. She had recurrent pregnancy loss x4. She delivered the baby normal but she develop complication during delivery such as perineum laceration and excessive blood loss. She loss more than 500 ml of blood and she is abla symptomatic and requested blood transfusion. what is […]

  A 75-year-old man presents to the emergency department with persistent right shoulder pain for the past month. He also reports increased fatigue and a 30-pound weight loss over the past several months. He has been smoking cigarettes for the past 40 years. On exam, the range of motion of his right shoulder is normal, […]