Dr. Ally - Family Medicine Resident

56 year old female presented to the clinic with pleuritic chest pain for the last 1 month. She mentioned she had COVID-19 infection 1 month ago. She complain of have shortness of breath on exertion and palpitations. She denied hemoptysis and syncope or near syncope or dizziness.

1. What are your differential diagnosis?

2. Name at least 5 test you would potential order to work up this patient.

26 year old male presented to the clinic with increasing lower back pain. He mentioned that he did not injure his back. He denied urinary tract infection symptoms. He denied saddle anesthesia or urinary retention or stool incontinence.
He denied weakness or paresthesia to the lower extremities.
The pain is limiting his movement at work - he works as an insurance broker and having increasing pain with sitting and standing.

1. Name 5 blood work you would order if any.

2. What is your differential diagnosis?

A 56-year-old male presented to your clinic with intermittent irregular heart beat for the last month. He denied chest pain or SOB or any other symptoms with the irregular best. The episode lasts 10 seconds and has it throughout the day. He has no significant past medical history. He takes no medication. He smokes for the last 25 years.

1. Name at least 5 blood works you would order
2. Name another diagnostic test you would order now.
3. Should he be started on DOAC today?

A 65-year-old female had a recent BMD which showed Osteoporosis. She was started on Risedronate once a week. She took two doses. After the last dose, she started having nausea, vomiting, and diarrhea. After 5 days she developed sore throat, chills, and neck is stiff and difficulty moving both hands. She is thinking she is suffering from side effects from the Risedronate. Vitals today at your clinic is 38/105/16 Bp 140/85.

1. What are your differential diagnosis?
2. How will you manage this patient?

56-year-old female presented to your clinic with a rapid heart rate. She denied chest pain, shortness of breath, or syncope. She feels she is having frequent episodes in the last two months. She has a past medical history of hypertension and dyslipidemia for which she is taking Ramipril and Rosuvastatin respectively. Her BP has been within target as well as her lipid profile.

1. Name 6 blood works you would consider ordering today.

2. What other diagnostic investigation would you order?

3. What medication would you use to treat the patient, if any?

4. Name 4 potential differential diagnoses for this condition.

40 year old male with cardiac sarcoidosis had to have a defibrillator/pacemaker inserted 6 weeks ago. He was driving to work this morning when he experienced two shocks and felt
left sided chest pain with some paresthesia to the left arm.
He presented to your ED in a rural area, 10 min after he received the shocks.

1. Name at least 5 blood work you would order.

2. Would you order an ECG?

3. Would you order any diagnostic imaging, which one would you order if any?

4. What are possible reasons for the shocks?

45 year old presented to your clinic with bilateral inguinal lymphadenopathy for the last month. He endorsed having some unintentional weight loss of 20 lbs in the last 6 months. Appetite is normal. No night sweats, fever or worsening fatigue.

1. Name 3 differential diagnosis.

2.Name at least 6 blood work you would order - if any.

3. Name 3 diagnostic imaging investigations you might order.

A 20-year-old female presented to the clinic with intermittent abdominal cramping for the last 9 months. She has been complaining of bloating, alternating diarrhea/constipation & relieved with defecation. No red flags.

1. Name at least 6 blood work you might order

2. What diagnostic imaging test you would consider ordering

3. Name 3 first-line treatments for this condition.

4. What are some of the differential diagnoses you might consider in this patient. Name 3.