A parent brings in an 9 month old patient with concerns over sleep. The parent reports the patient does not sleep through the night and her other children slept through the night by 6 months of age. The parent reports they are tired and just want the child to sleep through the night and asks what can be done to get the patient to sleep through the night. What is your best response?

What is a modifiable risk factor this patient could be advised to focus on to reduce his risk of this sleep disorder? 

You have a patient who did a telehealth visit and was treated for presumptive streptococcal pharyngitis, after possible strep exposure. Patient was treated with amoxicillin and has no drug allergies.  Patient comes to see you 3 days later reporting his temperature has actually gone up, and today is 101.7 degrees F in the office. He also notes fatigue and feels worse, despite hydrating, tolerating a soft diet, and taking OTC analgesics for symptom relief. You also note significant anterior and posterior chain lymphadenopathy and a diffuse rash. You decide: 

A 12-year-old female is in clinic with her mother for her well child exam. Mom is trying to be pro-active in discussing menstrual cycles with her daughter and asks you when you think she will start to have periods. With your knowledge about the Tanner Sexual Maturity Rating and Growth and Development, what is the most accurate thing to tell mom regarding her daughter’s period starting?  

What is the most likely diagnosis? 

Hyperopia and myopia also know respectively as: 

A patient presents with abdominal pain, abdominal distention, and hemodynamic instability. What is your TOP differential? 

You want to tag and categorize a new piece of content for your WordPress website. This can be done as a…

 A patient presents with painful swelling in the mouth and increased pain at mealtimes, feels otherwise well. On exam, patient is afebrile, and the provider notes a mass in the oral cavity near the sublingual salivary gland region. What is the most likely cause of these symptoms?

Your next patient has been having intermittent reflux symptoms, worse with certain foods, and if eating right before bed. Noted that initially had good relief with TUMs and has been using famotidine (Pepcid) BID with modest improvement, but notes “breakthrough” symptoms. No weight loss, dysphagia, or change in voice. At this point, which would be the next best step in management of this patient’s symptoms?