A 62-year-old woman has been following-up with you in the clinic for painful ulcers of the lower extremities. You note that in her history she had moderate swelling in the lower extremities for many years. However, in the past couple years, ulcerations began to appear. History includes fairly well-controlled hypertension, obesity, and depression. Physical examination […]

A 65-year-old retired firefighter complains of calf pain when walking more than a few hundred feet. He states that the pain typically will go away once he sits down to rest, but will start again after walking another few hundred feet. He has a history of type II diabetes which is fairly well controlled with […]

A physician evaluates a 49-year-old woman who just returned from a trip to Europe. She endorses painless swelling in her right leg that began within a day or two after a 10-hour return flight. Examination of the right leg is notable for 2 edema from the knee down, without appreciable edema in the left leg. […]

Shirley is a 76yo female who presents to your office for evaluation of chest pain that has been going on for the past 4 days. She states she occasionally does get chest pain now and again, but she noticed that over the past 4 days, when walking up the stairs, or going on her morning […]

A 62-year-old truck driver presents to his primary care physician for a preoperative evaluation. He is scheduled to have a coronary artery bypass graft tomorrow. The surgeon would like to harvest a portion of the radial artery to use as one of the bypass grafts. What preliminary test can be performed at the bedside to […]

Maria is a 17-year-old with a physical disability. She also has speech and vision problems. She has applied for a part-time job that would require her to take the public bus to and from work. Which of the following is the first step for the teacher to take in helping Maria prepare for this job? […]