A 77 year old female has been taking chronic duloxetine 60 mg daily for neuropathy and depression. She has been experiencing increasing confusion, lower back pain, and painful urination. A urinalysis is performed and she is diagnosed with a urinary tract infection....
My extensive work in geriatrics has led to a great understand of the prescribing cascade. The prescribing cascade is simply defined as using medications to treat side effects of other medications. There are literally hundreds to thousands of these examples. Now in...
A 77 year old male has a past medical history of gout, atrial fibrillation, hypertension, GI ulcer, chronic kidney disease, and anemia. He presents at this visit with worsening gout symptoms and has been taking Ibuprofen as needed up to four to fives times per day...
I get asked quite a few questions nowadays on the BCPS exam, so I put together a quick list of 4 common questions I frequently get asked and give you a few BCPS exam tips. Question 1: How hard is the exam? The huge challenge of this exam is the broad scope of...
My style of learning isn’t always conducive to sitting down and reading book chapters. I also don’t feel like I accomplish everything I want to when I read in that it takes a long time for stuff to sink in when I learn that way. I tend to lose focus on...
