Blog

Mary is a 68-year-old retired ICU nurse who presents today in clinic after insisting to see “someone”.  Her physician is out of town, and you are it!  Mary’s past medical history includes asthma, COPD, recently diagnosed with hypertension, smokes 1 pack per day, is undergoing treatment for breast cancer with chemotherapy, and hyperlipidemia.  Mary tells you she has a 12-day history of facial pain, nasal discharge, fever and a headache.  Physical exam includes cobblestone posterior pharynx, and tenderness to percussion over maxillary sinuses; remainder of physical exam is normal.  You diagnose her with acute bacterial rhinosinusitis. What is the best treatment option?

You just got a job working for ACE Manufacturing but were told that you would have to join the union with 3 months or be fired.  What type of “shop” is this?

Hay que tener el ___ (determination), es decir, el deseo intenso de tener éxito, para obtener la carrera de tus sueños. (The answer begins with the letter e.)

What is your best plan of care for a patient with a suspected a peri-tonsillar abscess?

Choose the correct verb form in the following dialogue.   The spring semester has ended, and Jessica, Sara, and Ana are scheduled to move out of their apartment today. Jessica:          Buenos días, Sara. ¿Estás lista para la mudanza? (Good morning, Sara, Are you ready to move?) Sara:              Sí, pero será difícil sin la ayuda de Ana. (Yes, but it will be difficult without Ana’s help.) Jessica:         ¿Sin la ayuda de Ana? ¿Dónde está Ana? Sara:             ¿Tú no sabes? Jessica:          ¿Qué debo saber? (What should I know?) Sara:               Ana __ (querer) mudarse a Florida más temprano. (Ana __ move to Florida earlier.) Jessica:           Así es ella. Lo ha hecho de nuevo. ¿Cómo es posible que tú y yo carguemos los muebles? (That’s how she is. She did it again. How is it possible that you and I carry the furniture?) Sara:               Sí, es desgraciado. Voy a llamar a mi amigo Juan a ver si está disponible. (Yes, it’s unfortunate. I’m going to call my friend Juan to see if he’s available.)

What is the likely diagnosis if umbilical cord vessels are visualized crossing the internal os?

  A form requiring documentation of proof of the legal ability to be employed in the US. Typically includes a Social Security Card & Driver’s license.

 This federal law is aimed at providing a safe workplace and requires strict reporting & record keeping.

 This is a state-run system that provides limited compensation for people who have lost their jobs through no fault of their own (lay-off). Must be willing & able to work & actively be seeking employment.

Roy is a 62-year-old who is in to see you for routine follow up on his hypertension, he is otherwise healthy.  While in the office, he mentions he is going to be grandpa for the first time and he is over the moon.  What immunizations would you recommend he receive prior to the birth of his first grandchild? Please select all that apply.