Your patient does not want to take levothyroxine replacement…

Your patient does not want to take levothyroxine replacement for her hypothyroidism. Her goal in life is to never be on any medications. As part of your rationale, you explain to her that untreated hypothyroidism can progress to respiratory depression and death. This state is called:

Amira is a 19-year-old female who is brought to see you in S…

Amira is a 19-year-old female who is brought to see you in Student Health accompanied by her friend. Her friend explains that they were sitting listening to a boring lecture when Amira suddenly slumped to floor. She was unconscious for approximately 30 seconds with no seizure activity noted. Amira states that she feels fine, just a little tired because she has been studying hard for upcoming finals. Physical exam reveals A & O x 4, BP lying 106/54 and 114/66 after standing for 1 minute, O2 sat 98% on room air, LS CTA, S1S2 without murmur or abnormal heart sounds, and CN II-XII intact. Which initial diagnostic tests should you complete?  Select all that apply.

Ed Murphy is a 66-year-old who presents today with complaint…

Ed Murphy is a 66-year-old who presents today with complaints of chest pain. He states that it is left sided and gradually worsening over the last 48 hours. He has obtained no relief with rest, food, exercise, Mylanta, or Tylenol. He states it hurts all the time and is worse when his chest touches something and that when he took a shower this morning, the hot water hurt that same area.  He states it is waking him up at night. He is on no routine medications, normal vital signs and exam.  What is your most likely diagnosis?

Melinda is a 58-year-old who presents to clinic today with s…

Melinda is a 58-year-old who presents to clinic today with sudden onset of shortness of breath and slight sharp chest pain.  She indicates she flew in from Australia last night and initially thought that her symptoms may be due to jet lag from travel. However, the shortness of breath has become more intense and she wonders if she could have contracted COVID pneumonia on the plane.  Routine meds include lisinopril, metformin, atorvastatin, premarin, and provera.  What is your primary differential diagnosis?