Albumin is a protein found in the bloodstream of the body, and it can have a significant impact on medications. One of those classic medications that albumin can impact is phenytoin. Albumin and phenytoin stick together. How does this matter clinically? When...
A 71 year old female has a past medical history of osteoarthritis, GERD, osteoporosis, hypertension, anxiety, and depression. Her osteoarthritis has been a chronic problem and she complains of pain all over, but mainly in her hips and knees. She currently takes an...
A 72 year old male has a past medical history of CHF, hypertension, hyperlipidemia, GERD, and osteoarthritis. He has had complaints of non-specific leg weakness. He does also report that it is painful at times and does keep him awake occasionally. When questioned,...
A 52 year old female presents to an appointment with her physician. Her primary complaint is that she is sweating profusely. She also has been more anxious of late and can’t sleep. She states that it started approximately 2-4 weeks ago. Her past medical history...
Fatigue is a common complaint from patients. It can certainly be due to a variety of reasons, but never underestimate the possibility of medication induced fatigue especially when it comes to polypharmacy. Here’s the medication list, and factors I would...
JS is a 76 year old female who was having an increase in sleepiness. Her neighbor recently stopped by and found very sedated and difficult to arouse. She was almost “passed out”. An ambulance was called and she was taken to the ER. Her current...
