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Jessie, age 29, experiences photophobia about 20 minutes before experiencing severe headaches.  The headaches are unilateral and throbbing along with nausea. How would you describe her headache?Jessie, age 29, sees flashing lights 20 minutes before experiencing severe headaches in addition to nausea. How would you describe her headache?

*Megan presents with RUQ abdominal pain and she has a positive Murphy’s sign. You are suspecting that Megan is experiencing issues with her gall bladder.  What radiological test would you initially order?

Will, a 24 year-old African American male, has a rash on the arm.  The rash began as a dry, scaly “bump” which has spread.  On exam, you note a single, well demarcated, erythematous, scaly annular lesion with central clearing on his arm.  Based on this information only, what would be the MOST LIKELY diagnosis?

You are seeing an adolescent male who presents with c/o “enlarged” breast. When is referral to endocrinology indicated in a male patient with gynecomastia?

Adrenal insufficiency can be primary or secondary.  A secondary cause of adrenal insufficiency include: 

Your 32 year old male patient comes in with complaint of rash. He reports that he first noticed one itchy patch on his back 1.5 weeks ago that has now spread to multiple smaller patches. He reports that his husband says “it looks like a Christmas tree.” He denies any other symptoms or any recent changes in medications, food, detergents, cosmetics, furniture, or recent travel. His husband does not have a similar rash. You suspect that he has:

According to the AACE /ACE Diabetes Algorithm for Glycemic Control, the A1C goal for an otherwise healthy diabetic is:

The treatment of choice for metabolic syndrome is lifestyle modifications

A college student doing lawn work for his summer job, mowed over some poison ivy and is now presenting for a wide spread, pruritic rash on his lower legs (was wearing shorts) and face.  What would be the best treatment for him?

Harvey age 75 presents with c/o chest pain that occurs during sleep and most often in the early morning hours.  What type of angina do you suspect?