Your 48 yo female has not had a “normal” period in approxima…

Your 48 yo female has not had a “normal” period in approximately 6 months. She is questioning if she is in perimenopause. Her urine pregnancy is negative. Her FSH, LH and estradiol bloodwork is on your desk for review. What are you looking for in these numbers to confirm perimenopause?  

A 28 year old patient who presents to your office for a brea…

A 28 year old patient who presents to your office for a breast mass that has been present for about a month.  She came in 2 weeks ago for the initial evaluation of the mass (which was about 2 cm, firm, irregular mass on the upper outer quadrant of the right breast).  Today’s exam is unchanged.  What test would you order?

A 55 year old male patient has a sharp localized pain over t…

A 55 year old male patient has a sharp localized pain over the right temple, fever, malaise,   His right temple is nodular and feels tender.  The nurse practitioner suspects temporal arteritis and refers the patient to the emergency room. What lab should be done and why?

A 7-year-old male presents with symptoms of groin pain and a…

A 7-year-old male presents with symptoms of groin pain and a limp that began 3 months ago. A radiograph shows ossification of the nucleus of the femoral head and a widened articular cartilage space when compared with the opposite femoral head. These symptoms most likely lead to which diagnosis?

A 19 year old comes to the walk in student clinic and says t…

A 19 year old comes to the walk in student clinic and says that she has milky nipple discharge from both breasts and multiple ducts and hasn’t had a period in three or four months.  She knows that she can’t be pregnant because she has never been sexually active.  What lab test will you order along with a urine pregnancy test?