Author name: Rose Wango

Persistent Sadness and Loss of Interest in Activities

A 40-year-old HIV-positive gay man presents to your clinic with complaints of persistent sadness, fatigue, and loss of interest in activities he used to enjoy. He reports feeling hopeless and has difficulty sleeping. Assessment: Physical: Weight: 150 lbs, Height: 5’10”, BP: 120/80, HR: 80 bpm. Mental Health: Scores 20 on the PHQ-9 (indicating severe depression).

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Testosterone Therapy

A 22-year-old transgender male presents to your clinic for a routine check-up. He has been on testosterone therapy for 1 year and reports significant improvement in his gender dysphoria. Assessment: Physical: Weight: 180 lbs, Height: 6’1″, BP: 130/80, HR: 72 bpm. Mental Health: Reports increased confidence and decreased anxiety. No suicidal ideation. Medications: Testosterone enanthate

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Frothy Urine and Weight Gain

A 30-year-old male reports noticing frothy urine and a 10-pound weight gain over the past three weeks. He has no significant medical history but mentions recently recovering from a sore throat two weeks ago. On examination, there is mild periorbital edema and a blood pressure of 140/90 mmHg. Questions Differential Diagnoses What are the potential

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Progressive Swelling in Legs and Decreased Urine Output

A 65-year-old male presents with progressive swelling in his legs, fatigue, and decreased urine output over the past two weeks. He reports shortness of breath when lying down, a history of hypertension, and poorly controlled diabetes. Physical exam reveals pitting edema in both lower extremities, crackles on lung auscultation, and mild hypertension (BP: 150/95 mmHg).

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