An 52-year-old female with a history of hypothyroidism prese…

An 52-year-old female with a history of hypothyroidism presents to an urgent care clinic complaining of numbness and tingling in the fingertips on both her hands for several hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient reports that she has been drinking a 12 pack of beer each night during the week and then drinks a bottle or two of vodka on the weekend. Her MCV is elevated.  Which of the following conditions is likely the cause of her symptoms?

A 37 year old male presents to the office for an eye injury….

A 37 year old male presents to the office for an eye injury. He was outside cutting branches on a Holly tree and was poked in the eye by one of the pointy leaves. He reports eye pain. You are concerned about a corneal abrasion. What is the best way to check for this?

A 47 year old obese male presents to the office complaining…

A 47 year old obese male presents to the office complaining of numbness and tingling over the right tibia. He denies recent trauma, accidents or surgery to the area. On exam, you note decreased sensation over the area. What lab test would you consider ordering for this patient? (Select all that apply).

A 38-year-old woman with a history of rheumatoid arthritis a…

A 38-year-old woman with a history of rheumatoid arthritis and systemic lupus erythematosus (SLE) is being seen for a routine follow-up visit. The results of the complete blood count (CBC) are the following: hemoglobin of 11.0 mg/dL, hematocrit of 34%, and a mean corpuscular volume (MCV) of 85 fL. The serum ferritin level is mildly elevated, and the transferring and total iron-binding capacity (TIBC) are within normal range. Which of the following is most likely?

A 39 year old female with history of uncontrolled hyperthyro…

A 39 year old female with history of uncontrolled hyperthyroidism presents to the office for palpitations and “uncomfortable chest sensation”. On exam you note that she appears anxious, is sweating and her pulse is 152 bpm. You perform an EKG and note there are no p waves. You accurately diagnose her with which of the following?