A 74 year old female is diagnosed with new onset seizures. She is initiated on Depakote 250 mg twice daily and titrated up to a dose of 1,000 mg twice daily. About 1-2 months following titration, she begins to experience increasing confusion and family begin to be...
Anemia can get pretty complicated, especially in the elderly. A few common causes of anemia include; blood loss, CKD, B12 deficiency, folate deficiency, and iron deficiency. A 78 year old female was concerned with fatigue, stating that she felt like she could sleep...
Statins (atorvastatin, simvastatin, etc.) are one of the most commonly prescribed classes of medications. Let me share a few common clinical pearls on statins. If you like some more pearls in audio format, be sure to check out the podcast! Statins should also be...
A 68 year male reports that he “can’t breathe” very well. Past medical history includes: COPD Asthma Migraines CHF Edema Hypertension Afib Medication list includes: Tiotropium daily Mometasone inhaler 110 mcg 1 puff twice daily Propranolol 20 mg BID...
A primary provider approaches you to figure out why one of his patient’s diabetes is out of control. Nothing seems to work. The case: A 59 year old female has a past medical history of: COPD Type 2 Diabetes Hypertension GERD Chronic back pain A1C= 10.2 Current...
