Taiko, a 53-year-old Japanese woman presents with an 18-month history of intermittent faecal incontinence. She has approximately three accidents/week. Physical activity often precipitates an episode, and she wears absorbent pads. Due to embarrassment, she has curtailed her social and professional activities. There is no history of rectal surgery and no neurologic symptoms. She has three […]

A 10-month-old male patient is evaluated for a rash. The caregiver notes that he had a high temperature up to 103.5 degrees Fahrenheit prior to the development of the rash, but on examination he is afebrile. He also has a history of cough and rhinorrhea for 3 days. Examination reveals a fine macular rash on […]

of Edward is a 42-year-old patient admitted to a medical/surgical unit. Edward has recently had surgery. Since post-op, Edward has presented as confused and disoriented but not agitated. Edward repeatedly tries to walk off the unit. Edward’s nurse wants to use the least amount of restraint and suggests the following actions: a. The treating physician […]

Amber is a 25-year-old college student who recently broke her leg, both the tibia and fibula, while snowboarding. She had extensive surgery to fix her broken bones but is still experiencing quite a bit of pain. It has been only two weeks since she had her surgery, and she is wondering if the medications the […]