Marilyn is a 48-year-old woman with a history of fibromyalgia, depression, obesity, irritable bowel syndrome, and temporomandibular joint disorder. She has been wearing a soft cervical collar for the past 4...
A 10-year-old otherwise healthy boy presents to the emergency department with a 2-day history of sore throat and substantial fever (100.2°F to 102.4°F).
Tim is a 4-year-old with low-grade temp 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...
Samantha is a 35-year-old woman who has strayed well beyond the recommended interval for pap testing. She said that at her last examination 7 years ago, insertion of the speculum was so painful that she was...
John is a 32-year-old homeless man who had recently been admitted for upper gastrointestinal bleeding. He was diagnosed with gastritis, related to a combination of risk factors including excessive alcohol....
Adam is a high school student who uses a fluticasone nasal spray 3 months of each year for seasonal allergic rhinitis. Although his symptoms are well controlled, he gets nosebleeds 2-3 times each allergy...
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.
