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Anne is a 62-year-old who presents to clinic with complaints of a chest tightness and upper arm pain for the last two or three days. The pain is worse with activity, but improves if she sits down and rests. She denies fever, chills, vomiting or diarrhea. She has been somewhat nauseated and tells you that she felt poorly yesterday and sat down in her recliner. She doesn’t remember falling asleep and doesn’t know how long she was out, but when she awakened, her clothes were wet and her skin felt cool and clammy. Your most likely diagnosis is:

Lily White is a 48-year-old female who presents to clinic today with wanting to speak to someone about her recent hyperthyroidism diagnosis. She does not want to start the medication (Methimazole 15 mg PO daily) the endocrinologist prescribed. What are the potential complications of untreated Grave’s disease?   

Ken is a 20-year-old college wrestler who presents to clinic today with complaints of “going bald”. Upon inspecting his scalp you note a well demarcated circular area with hair broken off at the shaft. The most likely diagnosis is:

Cranial nerve number I is the                                 nerve and its function is                                  .

You make a home visit with your next patient who is receiving hospice care. His wife reports to you that all of the inhalers and breathing treatments are not working. She can’t stand to see him struggle to for each breath anymore. You note the patient is gasping for breath though his O2 sat is 98%. What is your best response to the patient’s wife?

Alivia is a 32-year-old you are following for iron deficiency anemia.  In addition to a CBC, what lab parameter would you monitor to show she is responding to therapy early in the treatment process?

Isaiah is a 73-year-old who presents with complaints of left flank pain for the last week.  The pain is gradually worsening and radiates from the lower thoracic area around to the abdomen.  He describes the pain as burning, “almost like little electrical shocks” and now has a deep ache and throb accompanying the electric shocks.  He states he has been able to sleep at night, but did have to take 400 mg of ibuprofen last night to do so.  He denies pain with urination, frequency, urgency.  No change in bowel movements and he is eating and drinking normally.  Upon entering exam room he is sitting quietly on the exam table and repositions self easily for exam.  Urinalysis is negative for blood, leukocytes, nitrites.  What is the best plan of care? 

The gray commissure is a space in the center of the spinal cord containing cerebrospinal fluid (CSF).

Ted Smith is a 48-year-old who presents with complaints of sharp chest pain in his mid-sternum for 2 days duration. The pain has been steady and radiates to his left arm, worsened by swallowing and deep breathing; relieved by sitting up or leaning forward. He notes occasional tightness in his chest but denies shortness of breath, cough, or diaphoresis. This is his first episode of chest pain, but he worries that he may be having a heart attack because his father died of an MI at age 51. Based on his history, your top 4 differential diagnoses would include:

The                                is an external feature of the spinal cord that designates the location of nuclei for the lower extremities.