Dianne is a 73-year-old who presents with complaints of horr…

Dianne is a 73-year-old who presents with complaints of horrible shoulder pain and dysfunction.  States she was sitting in her car this a.m. and reached behind her to the back seat to lift a bag of library books into the front seat.  She had sudden severe pain and loss of use of her right shoulder.  Exam reveals a positive drop arm test of the right arm.  What is your best plan of care?

David is a 42-year-old with community acquired pneumonia (CA…

David is a 42-year-old with community acquired pneumonia (CAP). He has no co-morbidities and no recent antibiotic use. Which is the most appropriate antibiotic therapy to use according to the 2019 Infectious Diseases Society of America (IDSA) and American Thoracic Society (ATS) Recommendations for Outpatients Pneumonia?

Ryan is a 29-year-old who presents to clinic with complaints…

Ryan is a 29-year-old who presents to clinic with complaints of right flank pain for the last 12 hours “it’s horrible”.  He denies dysuria, fever or pelvic pain.  When you enter the exam room he has a hard time sitting still and states “I just can’t get comfortable”.   Urinalysis reveals 3 plus blood, trace leukocytes, negative nitrites.  You suspect that Ryan has:

Vicky is a 45-year-old who presents for her annual exam. She…

Vicky is a 45-year-old who presents for her annual exam. She is healthy without any chronic medical problems although she does report that her Dad had a fatal MI at the age of 43 and her older brother had an MI at the age of 46. Results of her labs and pooled cohorts equation reveal a 10 year ASCVD risk of 7.2%. What would you advise her about this result?