Tim is a 48-year-old farmer who presents with a 5 day histor…

Tim is a 48-year-old farmer who presents with a 5 day history of fever, chills, and headache, as well as a rash to his entire body.  He thought he had the flu, but when his rash has continued to worsen, his wife insisted he must be seen.  He tells you he has no recent travel and did not receive his flu shot last fall.  The rash initially was just on his wrists and ankles but now has moved inward and covers his trunk.  He feels horrible but tells you he has “no time to be sick, I’ve got to get my soybeans out and I don’t have time for this garbage”.  What is the best plan of care for you to offer to Tim?

Diane is a 21-year-old with complaints of abdominal pain. Sh…

Diane is a 21-year-old with complaints of abdominal pain. She is moving very carefully and slowly, making no unnecessary movements. When you inquire where her abdominal hurts, she points directly to the right lower quadrant with her index finger. Diane’s abdominal pain can best be described as one of:

Lily White is a 48-year-old female who presents to clinic to…

Lily White is a 48-year-old female who presents to clinic today with wanting to speak to someone about her recent hyperthyroidism diagnosis. She does not want to start the medication (Methimazole 15 mg PO daily) the endocrinologist prescribed. What are the potential complications of untreated Grave’s disease?   

A 30-year-old male with HIV presents for evaluation of a pai…

A 30-year-old male with HIV presents for evaluation of a painful ulcer in his mouth. On examination, there is a shallow ulcerated lesion on the upper lip. He does not have lesions on any other part of his body. One week prior, he was seen with similar symptoms and specimens obtained for herpes simplex virus (HSV) polymerase chain reaction (PCR) and culture were negative. Serologic syphilis testing (IgG antibody) is negative. Testing for mpox is negative. He has not had sore like this previously. In addition, he has not had any sexual contact for approximately 4 months. Which treatment should you recommend for this patient’s oral lesion?