A 67-year-old male presents with a persistent cough that has lasted for 4 months and occasional hemoptysis. He reports shortness of breath with exertion and a recent onset of chest pain described as dull and persistent. He denies fever, night sweats, or significant weight loss. His medical history includes COPD and type 2 diabetes mellitus. […]
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A 34-year-old female presents with a painless lump in her right breast that she noticed 6 weeks ago. She denies any changes in the size of the lump, skin changes, or nipple discharge. Her last menstrual period was 2 weeks ago, and she notes no significant changes in the lump related to her menstrual cycle.
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A 52-year-old male presents with persistent fatigue, unexplained weight loss of 15 pounds over the past 3 months, and intermittent abdominal discomfort. He reports occasional changes in bowel habits, including periods of diarrhea followed by constipation. He denies any overt blood in his stool but notes that his stool has been dark at times. His
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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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A 45-year-old female presents with sudden onset of severe, colicky flank pain radiating to the groin, nausea, and vomiting. She reports difficulty urinating and hematuria. Vital signs are stable, but she is visibly uncomfortable. No fever is noted. Medical history includes recurrent urinary tract infections. Questions Differential Diagnoses What are the potential differential diagnoses based
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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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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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A 32-year-old lesbian couple presents to your clinic seeking guidance on family planning options. They are interested in having a biological child and have discussed options such as intrauterine insemination (IUI) and in vitro fertilization (IVF). Assessment: Partner 1: Age: 32, BMI: 24, non-smoker, no significant medical history. Partner 2: Age: 30, BMI: 22, smoker,
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Discuss the importance of incorporating cultural sensitivity and awareness of LGBTQ+ specific issues into the assessment and treatment of mental health conditions in this population. Submission Instructions: Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. You should respond to at
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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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