You are examining the eyes of your pediatric patient. The ch…

You are examining the eyes of your pediatric patient. The child demonstrates decreased visual acuity during the exam using the illiterate E chart. When you are conducting the ophthalmic exam you note the absence of a red reflex in the left eye. What could this be an indication of?

You are beginning the examination of the skin on a 25-year-o…

You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism?

A 26-year-old stewardess comes in for a third trimester pren…

A 26-year-old stewardess comes in for a third trimester prenatal visit. She has had prenatal care since her sixth week of pregnancy. Her prenatal course has been unremarkable. Today her blood pressure and weight gain are appropriate and her urine is unremarkable. However she complains of feeling off balance and having back pain. What should you tell her.