75 year old African American female with history of chronic heart failure (CHF), hypertension, atrial fibrillation with an implantable cardioverter-defibrillator (ICD), diabetes mellitus, asthma with chronic obstructive pulmonary disease (COPD), came to the ED with a...
61 year old male with a history of diabetes, neuropathy, BPH presents complaining of not being able to sleep well at night. He states that he has been diagnosed with BPH and hasn’t wanted to be treated because it hasn’t been that bad. His current meds...
When I’ve had students with me, they will often ask about multiple serotonin related drugs and risk of serotonin syndrome. A classic example of this is a patient on an SSRI and Tramadol. This combination is used frequently in practice. Serotonin syndrome is...
An 87-year-old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin Glipizide Tylenol as needed Lisinopril Aspirin The primary provider orders...
A 47 year old African American female came into the emergency room with a chief complaint stating that “my throat was closing.” The patient had also been coughing with multiple episodes of vomiting throughout the night. Twice last month, the patient experienced a...
A nice guest post from an anonymous contributor, thank you! 84 year old female residing in community was recently treated with several courses of antibiotics to treat cellulitis of the right lower leg. Several different antibiotics were tried due to ineffectiveness...