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Polypharmacy Med List Review
A 64 year old female presents with the following medications: Her primary complaints are GI upset (feels like she is going to throw up) and dizziness. Atorvastatin 10 mg daily Aspirin 81 mg daily...
5 Medication Mistakes – Medication Patches
In geriatrics, I see a lot of patches being used. There is definitely some convenience associated with the use of patches as we can avoid the GI tract. I have seen my fair share of mistakes as...
Drug Induced Hyperammonemia – Case Study
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,...
Common Causes of Anemia – Medication Case Study
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...
5 Clinical Pearls Statins
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...
“I can’t breathe!” – Case Study
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...
Her Diabetes is Out of Control – Case Study
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...
5 Clinical Pearls on Alpha Blockers
Alpha blockers are indicated for both hypertension and BPH. Here's a few clinical pearls on alpha blockers that you need to know! Alpha blockers in females: I remember a urologist getting...
How Much Money Does the US Spend on Prescription Drugs?
As a healthcare professional, I try my best to reduce the cost and maximize benefit of pharmaceuticals. Here's a classic case where we were able to save a patient some money without negatively...
5 Pearls on How to Impress Your Preceptor on Clinical Rotations
I've had a lot of students come with me on rotation. I've had some future rock stars work with me as well as some students that have left a little more to be desired. How do you avoid striking out...











