A 61 year old Black female presents to the office for a rout…

A 61 year old Black female presents to the office for a routine physical. On exam, you note a triangular thickening of the bulbar conjunctiva on the temporal side of the patient’s face. It is begining to encroach on the cornea. The patient denies pain or visual changes. What is the most likely diagnosis?

A 55 year old male with PMH of hypertension presents the off…

A 55 year old male with PMH of hypertension presents the office for fatigue, weakness and palpitations. A CBC is ordered and you notice the patients hemoglobin level is 9.8 and their MCV is 114. You note that his ECG and vital signs are normal. What would be the next step in your work-up of this patient?

A 52 year old female presents to the office for enlarged lym…

A 52 year old female presents to the office for enlarged lymph nodes on the side of her neck. She reports that they have been there for the past month. She denies any recent illness, fever, chills, sore throat, cough, congestion or URI symptoms. On examination, you note 3 enlarged nodes on the anterior cervical chain bilaterally. They measure 2x3x2, 3x1x2, 1.5×3.2×2. What is the next step in testing for this patient. List 5 things in order of importance that you would check on her.