by Eric Christianson | Oct 8, 2025 | Neurology, Pain, and Musculoskeletal Case Studies
ES is a 74-year-old female with mild dementia managed with donepezil 10 mg nightly. She had been experiencing severe nighttime restlessness and an irresistible urge to move her legs, leading to frequent awakenings and fatigue during the day. Her provider diagnosed...
by Eric Christianson | Oct 5, 2025 | Cardiovascular Case Studies
SK is a 74-year-old male with a history of chronic systolic heart failure, hypertension, and type 2 diabetes. He has been stable on a regimen that includes carvedilol, sacubitril/valsartan, furosemide, and spironolactone. Recently, he began experiencing worsening...
by Eric Christianson | Sep 7, 2025 | Polypharmacy Cases And The Prescribing Cascade
In this case scenario with gabapentin and metolazone, I lay out how the prescribing cascade can rear its ugly head. SK is a 74-year-old male with a past medical history significant for chronic kidney disease stage 3, type 2 diabetes, hypertension, peripheral...
by Eric Christianson | Aug 13, 2025 | Hematology and Immunology Medication and Disease State Clinical Pearls
Every so often, you see a medication order that just makes you tilt your head and think, “Huh?” One order that I recently encountered that made me scratch my head was (ferrous sulfate) iron 2 tablets once daily. On the surface, it’s straightforward – take two tablets...
by Eric Christianson | May 21, 2025 | Infectious Disease and Oncology Case Studies
Nitrofurantoin is often used in patients for UTI prophylaxis. One potential concern with nitrofurantoin use is pulmonary toxicity. This can often be overlooked in patients as a potential cause of respiratory problems. Here’s a case scenario where nitrofurantoin...
