Jane, a 32-year-old female, presents with complaints of weig…

Jane, a 32-year-old female, presents with complaints of weight loss despite increased appetite, heat intolerance, anxiety, insomnia, and tremors over the past 2 months. Physical examination reveals tachycardia (HR 112 bpm), mild exophthalmos, and a diffusely enlarged thyroid gland without nodules. Laboratory results show: TSH 0.01 mIU/L (low), Free T4 2.9 ng/dL (elevated), Free T3 220 ng/dL (elevated), and positive TSI (thyroid-stimulating immunoglobulin).

Sarah, a 22-year-old female college student, presents to the…

Sarah, a 22-year-old female college student, presents to the campus health clinic with complaints of painful urination, urinary frequency, and lower abdominal discomfort for the past 2 days. She denies fever, flank pain, or nausea. Her vital signs are normal, and urinalysis shows: leukocyte esterase positive, nitrites positive, WBC 25-30/hpf, and few bacteria.

Mr. Garcia, a 58-year-old male with a 20-year history of typ…

Mr. Garcia, a 58-year-old male with a 20-year history of type 2 diabetes mellitus and hypertension, presents for his regular checkup. Laboratory results show: eGFR 38 mL/min/1.73m², BUN 35 mg/dL, creatinine 2.1 mg/dL, K+ 5.2 mEq/L, Hgb 10.2 g/dL, and urinalysis with moderate proteinuria (300 mg/24hr). His blood pressure is 162/94 mmHg.