Janis is a 12 month old that presents with her mother for se…

Janis is a 12 month old that presents with her mother for severe coughing fits with inabilty to catch her breath at times. It is noted that she was last seen at age 2 months.  When asked, Mom states she does not want her to get further vaccines after seeing her get a fever after the first set.  Based on the chief complaint, what incomplete vaccination has you most concerned?

MT is 8 weeks pregnant and presents in your office with mode…

MT is 8 weeks pregnant and presents in your office with moderate vaginal bleeding and spotting of some brown vaginal discharge.  She is not having any cramping and her cervical os is closed on exam. On ultrasound you observe a viable pregnancy. What is your diagnosis?