Taylor Tophus is a 65-year-old white female who presents to your urgent care clinic complaining of severe left thumb pain. She reports pain began last night with significant swelling and new-onset redness of her thumb’s metacarpophalangeal joint (MPJ). Her symptoms have progressively worsened into the morning hours. Taylor states she routinely sees a rheumatologist and […]

Gender: Male Age: 80 Ht: 72 in Wt: 194 lbs Ethnicity: African American Religion: Methodist Language: English Support system: Ertha (wife) and Betty (daughter-in-law) Primary Medical Diagnosis: COPD and Cardiovascular Disease Henry Williams is a 80-year-old male who was admitted last night with an acute exacerbation of COPD. He was brought in to the Emergency […]

A 42-year-old male with a history of alcohol use disorder presented to your clinic with with mid-epigastric pain and tenderness. Labs and Ultrasound noted the following, elevated lipase level, slightly elevated white count at 13 and a normal gallbladder and biliary tree ultrasound examination, procalcitonin normal. If he was not nauseous and able to take […]

Sarah, a dedicated and experienced nurse, was working the night shift at a busy urban hospital. One night, a distressed family member became agitated and aggressive after receiving difficult news about their loved one’s condition. Despite Sarah’s attempts to calm the situation and provide support, the family member lashed out verbally and physically. In the […]

Sarah, a nurse working in a high-stress emergency department (ED), consistently faces a heavy workload, frequent staff shortages, and long working hours. The job exposes her to traumatic events, such as dealing with critically ill patients or sudden fatalities. Over time, she experiences emotional exhaustion and compassion fatigue as she navigates the challenging emotional demands […]

Several weeks ago, a 32-year-old man had an episode of fever and malaise that lasted for about 2 weeks; it spontaneously subsided. Three days ago, he applied to donate blood for a close relative who needed an operation, but he was rejected on the basis of the lab results shown below. HBsAg HBsAb HBcAb IgG, […]