Mrs. Johnson, a 72-year-old female, is admitted to the hospi…

Mrs. Johnson, a 72-year-old female, is admitted to the hospital with severe dehydration following 3 days of vomiting and diarrhea. Upon admission, her vital signs are: BP 92/60 mmHg, HR 112 bpm, RR 22, temp 38.1°C. Laboratory results show: BUN 52 mg/dL, creatinine 2.8 mg/dL (baseline 0.9 mg/dL), Na+ 148 mEq/L, K+ 5.6 mEq/L, and urinalysis shows muddy brown casts.

Mr. Johnson, a 68-year-old male, presents with a 6-month his…

Mr. Johnson, a 68-year-old male, presents with a 6-month history of progressive resting tremor in his right hand, slowed movements, and difficulty initiating walking. His family reports that his face appears less expressive. On examination, he has cogwheel rigidity in the right arm, bradykinesia, and a shuffling gait. There is no history of exposure to antipsychotic medications.

Jennifer, a 32-year-old breastfeeding mother of a 2-month-ol…

Jennifer, a 32-year-old breastfeeding mother of a 2-month-old infant, presents with severe migraine headaches that have returned postpartum. Before pregnancy, she successfully managed her migraines with sumatriptan. She is concerned about taking medication while breastfeeding, but reports that the headaches are interfering with her ability to care for her baby.

Maria, a 26-year-old female with a history of focal epilepsy…

Maria, a 26-year-old female with a history of focal epilepsy, has been well-controlled on lamotrigine 200 mg twice daily for the past three years. She presents to her neurologist after discovering she is 6 weeks pregnant. She is concerned about the effects of her medication on her developing fetus, but is also worried about having seizures during pregnancy.

Lisa, a 35-year-old female, is diagnosed with an uncomplicat…

Lisa, a 35-year-old female, is diagnosed with an uncomplicated urinary tract infection. Her urine culture grows E. coli that is sensitive to multiple antibiotics. She has no known allergies but reports a history of frequent yeast infections after antibiotic use.