*A 9 year old is diagnosed with mild persistent asthma. What maintenance medication is the drug that would be most effective in keeping this patient symptom free?

A 23 y/o female comes to the urgent care with new onset facial pain.  She states “I don’t know where this came from.  I have never had this before!”  She describes the pain as a stabbing pain into her cheek and chin. She is an otherwise healthy female and is not taking any medications.  When you probe a little more, she said she was brushing her teeth when the pain started.  She applied ice to her face and it didn’t help.  Last dental visit was 5 months ago.  What diagnosis do you suspect?

Adrenal insufficiency can be primary or secondary.  A secondary cause of adrenal insufficiency include: 

The most frequently encountered generalized seizure presents as a sudden, tonic stiffening of muscles and is often associated with stridor or an ictal cry, and the patient falls to the ground in a tonic state. What is the name of this type of seizure?    

Will, a 24 year-old African American male, has a rash on the arm.  The rash began as a dry, scaly “bump” which has spread.  On exam, you note a single, well demarcated, erythematous, scaly annular lesion with central clearing on his arm.  Based on this information only, what would be the MOST LIKELY diagnosis?

Bihn, 25 yo, presents with costovertebral tenderness and a several-day history of high fever, chills, and dysuria. Given this information which of the following is your most likely diagnosis?

A 45y/o female comes to be evaluated for thickened toe nails that have gotten worse over the last 6 months.  She states that they developed after her family got a hot tub.  She used over the counter nail polish to treat them but they have not changed.  On exam you note thickened toe nails with white patches on the lateral edges with chalky debris noted when you scape the nails.  What would be the proper treatment for her condition?

A non-pregnant female patient with pelvic pain has a positive urine test result for Chlamydia. All of the following are true EXCEPT:

MJ, 55y/o, started Atorvastatin about 1 mo ago.  She has a f/u today in clinic and she reports that she is having muscle pain and darker urine since starting the drug. What would you do FIRST?

Your patient presents with 3 day history of low back pain. The history is positive for strain while lifting 3 days ago, but no other worrisome or symptoms.  The physical exam is normal except for only pain to the right lateral L4-L5 areas with flexion and extension and slight limp with heel-to-toe gait. Your plan today includes: