Case #1: Teresa History of Present Illness (HPI): Teresa is a 34-year-old Hispanic G2P2002. She presents to your office today at 10 weeks postpartum (PP) for her 6-week PP check. She underwent a C-section for failure to progress following a 20-hour labor with Pitocin augmentation. She was discharged from the hospital on day 2 postpartum […]

Addressing a Teenager’s First Gynecological Exam and Birth Control Consultation A first gynecological exam, coupled with a discussion about birth control, can be a daunting experience for a young woman, especially when parental involvement adds to the emotional complexity. Navigating this situation requires sensitivity, clear communication, and a focus on empowering the patient to make […]

Application of Course Knowledge: Excessive Opioid Use Client Introduction and MME Calculation David Ball is a 45-year-old male currently prescribed hydromorphone (Dilaudid) 4mg PO QID for chronic pain associated with fibromyalgia. To assess the appropriateness of his medication regimen, we need to calculate his daily morphine milligram equivalents (MME). According to the CDC’s 2022 Clinical […]