Discussion Part One (graded)\t\u00a0\tYou meet your first patient of the morning. A.K. is a 65-year-old Caucasian male who you are seeing for the first time. Both wife and daughter are present.\t\u00a0\tBackground\t\u00a0\tHe reports that he has had an 18-pound unintentional weight loss in the last 2 months “I am just not hungry anymore, and when I do eat, I get full so fast. In fact, it is really hard to eat, and I don’t eat nearly as much as usual, even though I eat 3 times every day”\ufffd. He also reports feeling more tired than usual. “I am not sleeping very well. My wife wakes me up when I am snoring, or when she thinks I am not breathing. I used to have sleep apnea, but I don’t think I have it anymore. Besides, that mask is so horrible to wear.”\ufffd He reports day time somnolence. He reports that he is at the clinic today because of his wife and daughter’s concern about his weight loss and loss of appetite.\t\u00a0\tPMH\t\u00a0\tMr. A.K. has a history of hypertension, cataracts, and osteoarthritis.\tCurrent medications:\t\u00a0\tIbuprofen \ufffd\u00a0\u00a0 600 mg po TID\t\u00a0\tLisinopril \ufffd\u00a0\u00a0\u00a0 20 mg po QD\t\u00a0\tHydrochlorothiazide\u00a0\u00a0\u00a0 25 mg PO QD\t\u00a0\tSimvastatin \ufffd 20 mg po QD\t\u00a0\tVitamin D3 \ufffd 50,000 units po weekly\t\u00a0\tOmeprazole\u00a0\u00a0\u00a0\u00a0 40 mg po QD\t\u00a0\tSudafed \ufffd \ufffd 50 mg po TID prn\t\u00a0\tSurgeries \ufffd\t\u00a0\t\u00a0April 2010-Right cataract extraction with Intraocular Lens Placement\t\u00a0June 2010- Left cataract extraction with Intraocular Lens Placement\t\u00a0November 2011-Left total knee arthroplasty\t\u00a0\tAllergies: No known drug or food allergies. Allergies to latex causing difficulty breathing and to bee stings, causing widespread edema and airway obstruction.\t\u00a0\tVaccination History\t\u00a0\tHe receives annual flu shots “most of the time”\ufffd. His last one was 18 months ago.\t\u00a0\tReceived a Pneumovax “the day I turned 65″\ufffd.\t\u00a0\tHis last TD was greater than 10 years ago.\t\u00a0\tHas not had the herpes zoster vaccine.\t\u00a0\tSocial history\t\u00a0\tHe has an 8th grade education and is a retired concrete finisher. He lives with his wife of 45 years and his daughter lives next door. He enjoys working in his back yard garden and recently tripped over the garden hose last week where his neighbor had to come and help him up.\t\u00a0\tFamily history\t\u00a0\tBoth parents are deceased. Father died of a heart attack at the age of 80; mother died of breast cancer at the age of 76. He has one daughter who is 45 years old and has hypertension. Hypertension, coronary artery disease, and cancer runs in the family.\t\u00a0\tHabits\t\u00a0\tHe drinks one 4 ounce glass of red wine nightly; previous smoker of 30 years; he quit for 10 years, and is now smoking \u00bc pack per day for the last 6 months.\t\u00a0\t\u00a0\t\u00a0\tDiscussion Part One:\t\u00a0\t\u00a0\tProvide the differential diagnoses (DD) with rationale<\/p>\n","protected":false},"excerpt":{"rendered":"
Discussion Part One (graded) \u00a0 You meet your first patient of the morning. A.K. is a 65-year-old Caucasian male who you are seeing for the first time. Both wife and daughter are present. \u00a0 Background \u00a0 He reports that he Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-230100","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230100","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=230100"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230100\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=230100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=230100"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=230100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}