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Case 2 A 26-year-old man reports to his physician in late October, complaining of a sudden...
Diagnosis this person. A 26-year old man reports to his physician in late October, complaining of...
Diagnosis this person. A 26-year old man reports to his physician in late October, complaining of a sudden onset of fever, dry cough, headache, and body aches. The man states he received his flu shot 10 days prior and must have gotten the flu from the immunization. He also states that he had just returned two days before from a weeklong trip to Hong Kong. He mentions that a highlight of his trip was a visit to the farmers’ market...
A 50 year old man notifies his physician that he has passed approximately 12” of a...
A 50 year old man notifies his physician that he has passed approximately 12” of a tapeworm with a bowel movement. He has not had any abdominal complaints up to this event. The physician tells him that he probably has a Taenia species tapeworm – either the pork or the beef tapeworm. The patient explains to the physician that on religious grounds he is extremely careful to avoid eating any pork or pork products. The physician tells the man to...
Case B: You are a physician assistant taking care of a 65-year old retired man with...
Case B: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are...
Case Study #47 A 68-year-old man presents to the physician with a complaint of urinary frequency....
Case Study #47 A 68-year-old man presents to the physician with a complaint of urinary frequency. He states that he has noted increased urgency and frequency for approximately 1 year, but his symptoms have become progressively worse. He states that currently he seems to have to urinate "all the time" and often feels as if he has not completely emptied his bladder. He must get up to urinate three or four times each night. In addition, in the last month,...
Case: You are a physician assistant taking care of a 65-year old retired man with a...
Case: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at...
Case: You are a physician assistant taking care of a 65-year old retired man with a...
Case: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at...
You work in a small family practice in rural Virginia. A man in his early 50s...
You work in a small family practice in rural Virginia. A man in his early 50s comes in with a complaint of intermittent fever (102— 03°F) and headache for the past two weeks. The physician examines him and takes a history. The only clinical finding is a wound about the size of a quarter on his right thumb. Axillary lymph nodes are swollen and tender. The man says he cut himself while skinning a rabbit three days ago. On the...
Case Study #1 CHIEF COMPLAINT: Cough and fever for four days HISTORY: Mr. Alcot is a 68 year old man who developed a har...
Case Study
#1
CHIEF
COMPLAINT: Cough and fever for four days
HISTORY: Mr. Alcot is
a 68 year old man who developed a harsh, productive cough four days
prior to being seen by a physician. The sputum is thick and
yellow. He developed a fever, shaking, chills and
malaise along with the cough. One day ago he developed pain in his
right chest that intensifies with inspiration. He lost 15 lbs. over
the past few months but claims he did not...
Case Study: A 50-year-old male delivery driver presented to a walk-in clinic complaining of back pain...
Case Study: A 50-year-old male delivery driver presented to a walk-in clinic complaining of back pain after having fallen from his truck earlier that day. On physical examination, there was tenderness of the lumbo-sacral spine, and limited range of motion in all directions. His neurological exam was normal. The physician prescribed analgesics and recommended follow up with the patient's own family physician and also a referral to a physiotherapist. During the visit, the patient asked the physician to complete a...
Me. K. is a 57- year - old man who consulted his physician after noticing marked...
Me. K. is a 57- year - old man who consulted his physician after noticing marked leg pain while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. when sitting for extended periods with legs became red, and sometimes his feet felt numb. His history indicated he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of...
Case Study #47 A 68-year-old man presents to the physician with a complaint of urinary frequency. He states that he has noted increased urgency and frequency for approximately 1 year, but his symptoms have become progressively worse. He states that currently he seems to have to urinate "all the time" and often feels as if he has not completely emptied his bladder. He must get up to urinate three or four times each night. In addition, in the last month,...
Case Study
#1
CHIEF
COMPLAINT: Cough and fever for four days
HISTORY: Mr. Alcot is
a 68 year old man who developed a harsh, productive cough four days
prior to being seen by a physician. The sputum is thick and
yellow. He developed a fever, shaking, chills and
malaise along with the cough. One day ago he developed pain in his
right chest that intensifies with inspiration. He lost 15 lbs. over
the past few months but claims he did not...
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