A 28 year old female with a history of hypothyroidism, and w…

A 28 year old female with a history of hypothyroidism, and who is a probation officer, presents to the office with a one month history of “shaking in my hands”.  She tells the NP she is concerned because she carries a weapon and is worried her target skills will be affected. She also relates her brother “has the shakes too” but he never went to see a health care provider. The most likely diagnosis is:

A 32 year old female, Gravid 0, has not had a period in 4 mo…

A 32 year old female, Gravid 0, has not had a period in 4 months, has noticed some clear fluid from her right nipple over the last couple months and has not become pregnant in the last year despite no contraception.  The nurse reports a negative urine pregnancy test.  When ordering lab tests, the NP suspects to find 

A 66-year old female presents to the primary care office wit…

A 66-year old female presents to the primary care office with CC: “my eyes are yellow.”  The patient has noticed her skin is very itchy, she is feeling more tired, and generally does not feel well.   She is having some back pain and notes her urine looks dark.  A urine dip in the clinic reveals a high level of bilirubin.   The NP knows the bilirubinuria is a sign of