You are evaluating a 19 yo female who sustained a traumatic…

You are evaluating a 19 yo female who sustained a traumatic brain injury while playing soccer.  She experienced a brief episode of LOC, has had 3 episodes of vomiting and Glascow Coma Scale two hours after injury is 14.  Which imaging modality is most appropriate for you to order?

A 54 year-old male patient presents to the clinic with chief…

A 54 year-old male patient presents to the clinic with chief complaint of heartburn. He reports his symptoms began about four months ago and initially occurred primarily after certain food triggers. Now he reports that he has symptoms daily and also has difficulty sleeping at night due to pain in his epigastric region. His weight at his last appointment 6 months ago was 180 pounds, and his weight today is 160 pounds. He denies dieting, but does report early satiety associated with the stomach pain that worsens when he eats. Additionally, he often feels like he gets food stuck in his throat when he swallows. He has tried Tums and Mylanta for his symptoms without consistent or long term symptom relief.  After your physical exam, what is the best course of action for this patient? 

A 26 year-old, moderately obese, Caucasian female that is tw…

A 26 year-old, moderately obese, Caucasian female that is two-month post-partum presents to the clinic with a concerns of heartburn, flatulence, and anorexia. During her pregnancy she had experienced similar symptoms, but they have become more severe in the last week and she vomited twice. She has intermittent pain in the epigastric and right upper quadrant area. She also thinks she pulled a shoulder muscle as she has an almost constant dull ache there.  The patient has physical exam findings that are unremarkable, except for RUQ tenderness with deep palpation and a positive Murphy’s sign. Which of the following becomes your primary differential diagnosis?