Stella is a 27-year-old transgender woman with a past medical history of HIV treated with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). Her most recent CD4 count was in the normal range, and her HIV viral load was undetectable three months ago. She takes estrogen supplements and testosterone blockers but has not had gender-affirming surgeries of any kind. She […]

Gloria is a 24-year-old female who visits the student health center complaining of unilateral headaches that she describes as throbbing. Gloria experiences these headaches 5-10 times per month, and an episode can last up to 24 hours. During the headache, she is sensitive to light. She feels better lying down alone in a dark room. […]

 Jamie, 12 years old, diagnosed with autism spectrum disorder (pronouns: they/them). Complex Medical Concern: Jamie also has epilepsy, which requires daily medication and can lead to seizures. Service History: Jamie has received intensive applied behavior analysis (ABA) services to improve communication and social skills over the last year. Unfortunately, despite the team’s efforts, minimal progress […]

Mr. J.D., a 68-year-old male with a history of chronic heart failure (CHF) secondary to ischemic cardiomyopathy, presents to the emergency department (ED) with worsening dyspnea, orthopnea, and bilateral lower extremity edema. He reports a recent Thanksgiving celebration where he indulged in high-sodium foods, including ham, mashed potatoes with gravy, and canned vegetables. His symptoms […]

A 30-year-old married female and mother of two is seen in the outpatient mental health center with subjective complaints that her activities with family members seem dull or muted. During assessment she admits to the Psych NP that she often feels like she is merely “going through the motions” of her daily life. These findings […]

A mother presents with her 4-year-old daughter, Emma, with concern of left arm or shoulder pain. She denies any history of injury or trauma, but noticed Emma seems to be protecting her left arm and won’t extend it. This started after Emma was playing outside with her teenage brother, who built an obstacle course and […]