Pearls

acne
acne
02/04/2016
The high school prom is only 6 weeks away and you are seeing an influx of teenage patients asking for help with their acne. The frequency of which you have been addressing these problems makes you wonder...
02/04/2016
Hypertension
Hypertension
01/12/2016
Roger is a 46-year-old man who has recently begun an effort to lower his blood pressure. He reports that although he has recently switched to low-sodium options for all of his favorite foods, the...
01/12/2016
Pediatrics
Pediatrics
01/07/2016
Tim is a 4-year-old with low-grade fever and a painful left ear. Your physical examination is within normal limits but limited by cerumen obstruction of the ear canal, so you cannot assess his tympanic...
01/07/2016
Obesity
Obesity
01/05/2016
Thomas is a 32-year-old man who has previously switched from regular soda to diet drinks, believing this will help him lose weight. Recently, he read an article online suggesting that non-caloric sweeteners...
01/05/2016
Surgery
Surgery
12/30/2015
Arnold, a 67-year-old man, had an ileosteomy performed a little over 2 years ago. He had not encountered any difficulty in management of the ileostomy until today, when it became prolapsed. He has tried...
12/30/2015
Psychology
Psychology
12/28/2015
Jaime is a 15-year-old girl who is losing interest in activities and suffering from insomnia. Her mother brings her for a check-up and asks if there are any dietary changes they can start with before...
12/28/2015
Diabetes
Diabetes
12/22/2015
Thomas is a 43-year-old man of healthy weight and body mass index. Despite his health, he expresses concern about diabetes, as the disease is common in his family.
12/22/2015
Addiction
Addiction
12/16/2015
Alfredo is a 37-year-old who comes to the emergency department complaining of renal colic. Note: Alfredo is a “frequent flyer” in the emergency department and many staff members know him by name.
12/16/2015
Cardiovascular Diseases
Cardiovascular Diseases
12/15/2015
Joseph is a 34-year-old overweight man with elevated cholesterol levels. He has not yet started taking a statin, and tells you that he would prefer any lifestyle modifications you could suggest to help...
12/15/2015
Obesity
Obesity
12/08/2015
Jonathan is a 32-year-old man with a BMI of 20 but with an elevated waist-to-hip ratio of .90. Despite his waist-to-hip ratio, at his latest appointment he asks you if it is necessary for him to continue...
12/08/2015