A patient diagnosed with Parkinson’s disease (PD) has been prescribed carbidopa-levodopa with good results but develops increased dyskinesia. Which drug will be added to this patient’s regimen to help control this symptom?
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What would the provider consider as the potential cause of s…
What would the provider consider as the potential cause of symptoms including pain, swelling in one knee and one hand, and inflammation in both eyes, when a patient who previously received treatment for a urinary tract infection presents three weeks later?
A patient with systemic lupus erythematosus (SLE) develops e…
A patient with systemic lupus erythematosus (SLE) develops end-stage renal disease. Because of the underlying SLE, what treatment is recommended for this patient?
Which laboratory tests may help distinguish systemic lupus e…
Which laboratory tests may help distinguish systemic lupus erythematosus (SLE) from other systemic rheumatologic disorders?
A 52-year-old male patient presents to the emergency departm…
A 52-year-old male patient presents to the emergency department with a progressive weakness in his legs. He reports that the weakness started in his feet and has gradually spread upwards over the past few days. On examination, you find diminished deep tendon reflexes, bilateral lower limb weakness, and areflexia. Sensory examination is normal. Based on this clinical presentation, what is the most likely diagnosis?
In a patient presenting with tenderness and swelling in the…
In a patient presenting with tenderness and swelling in the small joints of both hands, along with several weeks of fatigue and malaise, and with a negative rheumatoid factor (RF) test result, what would be the subsequent course of action for the primary care provider?
What could be a probable cause of the patient’s elbow pain i…
What could be a probable cause of the patient’s elbow pain if the examiner discovers pain during resisted wrist flexion, forearm pronation, and passive wrist extension on the affected side?
When educating the family of a patient who has recently been…
When educating the family of a patient who has recently been diagnosed with amyotrophic lateral sclerosis (ALS) and inquiring about long-term care, what information would the provider impart regarding this disease?
In a young adult woman who has been attempting to conceive f…
In a young adult woman who has been attempting to conceive for more than 6 months without success, the patient reports a history of irregular periods since the onset of menarche. The provider observes that the woman is overweight, exhibits acanthosis nigricans, and has excessive hair distribution. What is the leading suspected primary cause of these symptoms according to the provider?
A 63-year-old female patient presents with severe facial pai…
A 63-year-old female patient presents with severe facial pain that is sudden in onset, electric shock-like, and brief in duration. The pain is located on the right side of her face, specifically in the distribution of the maxillary and mandibular divisions of the trigeminal nerve. The pain is triggered by routine activities such as eating, talking, or even light touch to the affected area. There are no associated sensory or motor deficits. Based on this clinical presentation, what is the most likely diagnosis?