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.
Heckel noted that when he went away for a weekend to visit his mother and forgot to take his statin, the myalgias went away. When he returned home and restarted the statin, myalgias returned.
Mary is a 34-year-old G2P2 woman with idiopathic menorrhagia. For the past 15 years, she has experienced prolonged menses (≥ 8 days) requiring 7 to 10 pads/d.
Marvin is a 32-year-old man who has been married for 3 years and is planning to start a family. He has experienced premature ejaculation since adolescence and although his partner is willing to “put up with...
Angus, a 66-year-old farmer, comes in complaining of itchy bumps on his arms and dorsal hands. Over the last 5 years, he has received cryotherapy for individual actinic keratosis on 8 different occasions.
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Tiffany is a 9-year-old girl with asthma that has recently progressed from intermittent to mild persistant classification. You have recommended, as per current guidelines, institution of inhaled...
Sylvia is a 32-year-old woman with an almost 20-year history of classic migraine who presents in your Urgent Care clinic. Despite generally successful prophylaxis of her migraine with a beta blocker, she is...
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...
Tiffany is a 2-year-old with recurrent acute otitis media (AOM). She is in to see you again today with AOM—her fourth episode in the last 12 months. When asked, the parents said they both smoke, but not...
