Orthopedics

Dec 22, 2016 by in GYNECOLOGY Comments Off on Orthopedics

ORTHOPEDICS CASE 1: Carpal Tunnel Syndrome Setting: Office CC: “My hands hurt.” VS: Stable HPI: A 43-year-old woman presents with painful burning and tingling in both her hands. She works…

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Ophthalmology

Dec 22, 2016 by in GYNECOLOGY Comments Off on Ophthalmology

OPHTHALMOLOGY CASE 1: Open-Angle Glaucoma Setting: Office CC: “I have difficulty seeing.” VS: Stable HPI: A 76-year-old African American man presents for primary care evaluation. He has no complaints and…

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Endocrine

Dec 22, 2016 by in GYNECOLOGY Comments Off on Endocrine

ENDOCRINE CASE 1: Pituitary Disease Setting: Office CC: “I am having trouble in bed.” VS: Stable HPI: A 42-year-old man presents with difficulty seeing and a recent onset of erectile…

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Biliary Tract

Dec 22, 2016 by in GYNECOLOGY Comments Off on Biliary Tract

BILIARY TRACT CASE 1: Biliary Colic Setting: Office CC: “My stomach hurts after eating pizza.” VS: Stable HPI: A 40-year-old obese woman with four kids presents with recurrent postprandial right…

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Esophageal Disorders

Dec 22, 2016 by in GYNECOLOGY Comments Off on Esophageal Disorders

ESOPHAGEAL DISORDERS CASE 1: Gastroesophageal Reflux Disease Setting: Office CC: “I feel like I am always sucking on pennies.” VS: BP, 131/67 mm Hg; R, 16 breaths/min; P, 77 beats/min;…

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Colon

Dec 22, 2016 by in GYNECOLOGY Comments Off on Colon

COLON CASE 1: Colon Cancer Setting: Office CC: “I feel weak.” VS: Stable HPI: A 65-year-old man presents with weakness and fatigue of 3 months’ duration. He states that he…

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Dermatologic Diseases

Dec 22, 2016 by in GYNECOLOGY Comments Off on Dermatologic Diseases

DERMATOLOGIC DISEASES CASE 1: Cellulitis Setting: ED CC: “My leg hurts.” VS: BP, 121/86 mm Hg; R, 18 breaths/min; P, 89 beats/min; T, 100.9°F HPI: A 32-year-old man presents to…

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Stomach

Dec 22, 2016 by in GYNECOLOGY Comments Off on Stomach

STOMACH CASE 1: Upper Gastrointestinal Bleed Setting: ED CC: “I vomited blood.” VS: Supine:             BP: 114/77 mm Hg Standing:             BP: 84/67 mm Hg             R: 18 breaths/min             P: 121 beats/min             T:…

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General Abdominal Surgery

Dec 22, 2016 by in GYNECOLOGY Comments Off on General Abdominal Surgery

GENERAL ABDOMINAL SURGERY CASE 1: Splenic Flexure Syndrome Setting: Office CC: “My stomach hurts.” VS: Stable HPI: A 27-year-old woman corporate executive presents with severe abdominal pain of 6 months’…

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Postoperative Complications

Dec 22, 2016 by in GYNECOLOGY Comments Off on Postoperative Complications

POSTOPERATIVE COMPLICATIONS CASE 1: Wind Setting: SICU CC: Fever VS: BP, 156/80 mm Hg; R, 20 breaths/min; P,111 beats/min; T, 101.1°F HPI: A 45-year-old woman undergoes a bilateral knee replacement…

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