**Jane is a 27 y/o married female who presents to the clinic…

**Jane is a 27 y/o married female who presents to the clinic stating that she battles acne on a regular basis.  She also states that her menses is irregular.  Her and her husband have actively been trying to get pregnant without success.  From these subjective findings, you are thinkng that she might have Polycystic Ovarian Syndrome (PCOS).  Which of the following is not a diagnostic criterion of PCOS

Mr. Ralston is being seen for progressive dyspnea and cough….

Mr. Ralston is being seen for progressive dyspnea and cough.  He reports some clear mucous production and you notice he is thin and has a barrel chest. He said he used to take an inhaler but has been out for some time and has been using his grandson’s albuterol prn but it doesn’t really help.  On exam, he is breathing with pursed lips and has fine crackles with auscultation. You perform PFTs in the office and he has: Normal FVC (forced vital capacity) Increased Residual Volume Normal TLC (Total Lung Capacity) Decreased FEV1/FVC ratio What diagnosis do you suspect?

You are seeing Mr. Green, a 67 year old male, for the first…

You are seeing Mr. Green, a 67 year old male, for the first time. He has had Type 2 diabetes for the past 16 years.  Although he has been on insulin for 2 years, he does not maintain optimal control, as his A1C remains 8-9 most of the time.  You see on his chart was prescribed an ACE inhibitor 2 year ago, after being found to have microalbuminuria.  This was likely done as Mr. G is at risk for: