You are seeing a 68-year-old male with hypertension and non-…

You are seeing a 68-year-old male with hypertension and non-ischemic cardiomyopathy in the clinic today. He has the diagnosis of heart failure with reduced ejection fraction (HFrEF). An echocardiogram one month ago showed left-ventricular hypertrophy and a left-ventricular ejection fraction (LVEF) of 36%. He takes lisinopril 10 mg PO every day and carvedilol 12. 5 mg PO BID. His pulse is 68 beats/minute, blood pressure is 134/88 mmHg, and oxygen saturation is 95% on two liters of oxygen by nasal cannula. His weight is up 8 pounds from his last clinic appointment. His physical exam is notable for jugular venous pulse and pressure (JVP) of 12, bilateral leg edema, and crackles at his lung bases. What will be the next step in management of this man?

Fungal infections of the nail are characterized by nail disc…

Fungal infections of the nail are characterized by nail discoloration, thickening and deformity. Onychomycosis is the most common nail condition, and most frequently occurs in toenails.  While counseling a patient on treating nail fungal infections, which of the following would be routinely included in patient education?

Your next patient is an 80-year-old who shows no interest, e…

Your next patient is an 80-year-old who shows no interest, enthusiasm or concern, with decreased alertness and a slowing of speech several days after hip replacement surgery. This behavior alternates with long periods of lucidity. What is the most likely cause of these symptoms?