A 25-year-old man presents to the emergency department for r...

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A 2-month-old girl is brought to the pediatrician by her mother for a follow-up visit. The patient was born at 29 weeks gestation to a G1P1 mother. Her postnatal course was complicated by a prolonged neonatal intensive care unit stay for neonatal respiratory distress syndrome (NRDS). Since discharge from the hospital, her mother reports that the patient has been doing well without health problems. She has been gaining weight appropriately. Her temperature is 98.6°F (37.0°C), blood pressure is 80/50 mmHg, pulse is 120/min, and respirations are 25/min. The patient's mother asks the pediatrician about potentially delaying the 2-month vaccine doses due to the baby's medical history. Which of the following is the correct vaccination plan for this infant in terms of the vaccinations below? - Diphtheria, Tetanus, and acellular Pertussis - DTaP - Hepatitis A - HAV - Hepatitis B - HBV - Haemophilus influenzae type B conjugate - HiB - Pneumococcal conjugate - PCV 13

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A 55-year-old woman is seen in the hospital for “yellowing s...

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A 39-year-old woman is admitted to the hospital with 1 day o...

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A 32-year-old G2P1 woman at 26 weeks of gestation presents t...

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A 24-year-old motorcyclist is involved in a head-on collisio...

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A 43-year-old man presents with decreased vision in his left...

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A 44-year-old woman with a history of diabetes and hypothyroidism presents to her primary care physician for depressed mood. These symptoms have persisted for the past 10 years. Her symptoms of increased appetite and sleeping all day have been much worse. She feels as if her arms and legs are “made of lead” and incredibly heavy, making it difficult to engage in everyday tasks. Her mood is very depressed and she is very sensitive to rejection. She feels guilty that she cannot accomplish more in her life as a result. She has minimal interest in her hobbies or spending time with friends anymore. Her medical history is significant for hypothyroidism, major depressive disorder, obesity, and chronic kidney disease. Before the current visit, she was prescribed fluoxetine and paroxetine each for a 2-year period with escalating doses but has noticed no improvement in her symptoms. The patient also has a medical history of obesity, chronic kidney disease, and a seizure disorder. She has had several breakthrough seizures this past month despite consistently taking her prescribed antiepileptics. Her temperature is 98.1°F (36.7°C), blood pressure is 142/82 mmHg, pulse is 86/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical exam reveals a young woman with a depressed mood. Her neurological exam is unremarkable. Laboratory studies are ordered as seen below. Hemoglobin: 12 g/dL Hematocrit: 36% Leukocyte count: 6,500/mm^3 with normal differential Platelet count: 197,000/mm^3 Serum: Na+: 141 mEq/L Cl-: 101 mEq/L K+: 4.1 mEq/L HCO3-: 24 mEq/L BUN: 29 mg/dL Glucose: 129 mg/dL Creatinine: 2.1 mg/dL Ca2+: 10.2 mg/dL Thyroid stimulating hormone (TSH): 0.04 mIU/L (normal 0.04-5.0) Which of the following is the most appropriate treatment for this patient?

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