Cultural Factors in the Treatment of Anxiety A 43 year-old Japanese patient comes to your office for the evaluation of his symptoms. For the last 8 months, he has been avoiding social gatherings and staying in his house. He prefers to ‘work from home’, not interested in going to work or outside activities. He does […]
Can you answer this question?
A 64 year-old female, Mrs.Jane, comes to your office for her annual health checkup. For the last few months, she has been having difficulty remembering the names of her friends. She struggles to remember even the names of some of her grandchildren. Sometimes she struggles to find the right words to express her thoughts. Sometimes […]
Risk of falls in the elderly
A 65 year-old female arrives in your office for her annual health checkup. Which of the following is true about the risk of falls in the elderly? Correct Answer is C. Falls are a serious problem in older adults, increasing morbidity and mortality. Polypharmacy is a risk factor for falls with psychotropic medications taking the […]
Can you answer this question?
A 36 year-old male patient comes to your office seeking treatment for his opioid abuse and alcohol abuse. He is particularly interested in using naltrexone maintenance. His past medical history is significant for chronic Hepatitis C. His most recent alanine aminotransferase (ALT) level is 80 U/L and Aspartate aminotransferase (AST) level is 90 U/L. Regarding […]
Dealing with Minors
Parental Consent for Minor Treatment A 15 year-old male comes to your office for the evaluation of dysuria in your office. He has recently become sexually active and fears a sexually transmitted infection( STI). His parents are divorced and live differently. He asks you not to inform them about his STI. What is the most […]
Question on Anabolic Steroids. Can you answer?
A 16 year-old male came to your office for the evaluation of a rash on his back and an abscess on his right thigh. He is also feeling frustrated, irritable and lost interest in activities he once enjoyed. His vital signs were Temp = 98.2 F, Blood pressure = 150/90 mm Hg, Pulse = 95/minute, […]
Answer this question on developmental milestones
A mother brought her 3 year-old female child to your office for a wellness pediatric physical examination. Her past medical history is significant for normal developmental milestones. Of the following, what developmental milestones can you expect in this child? Correct Answer is A. At year 3, a child can ride a tricycle and can stack […]
Jarisch-Herxheimer reaction
Key Points Jarisch-Herxheimer reaction is a transient clinical phenomenon that usually occurs within 2 – 24 hours of antibiotic treatment of spirochete infections, including syphilis, leptospirosis, Lyme disease, and relapsing fever. -it is common in early syphilis, particularly in secondary syphilis, where it can occur in 70-80 % of cases Mechanism The breakdown of dying […]
Graft-versus-host disease (GVHD)
Graft-versus-host disease (GVHD) Graft-versus-host disease (GVHD) is a life-threatening complication that can occur after certain stem cell or bone marrow transplants. -it is the primary cause of morbidity and mortality after hematopoietic cell transplantation -30 to 70 percent of transplant recipients develop GVHD Time course: Acute GVHD usually happens in the first 100 days after […]