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Your patient is diagnosed with iron overload. What would be the most likely prescription?
A 41-year-old obese male schedules a clinic appointment complaining of chest pain. The patient describes the pain as burning and located at the epigastric or mid-sternal level. The patient reports the pain frequently awakens him at night and is relieved by eating, especially milk products.
On exam, the patient appears well. Vital signs show blood pressure of 120/75, pulse 75, temperature 98.6, respiratory rate 20, and oxygen saturation of 99% on room air. The abdominal exam is significant only for some mild epigastric tenderness to palpation.
EKG and chest x-ray are unremarkable.
What is the next best diagnostic step?
Hunter, your 11-year-old student with ADHD, has suddenly become irritable and aggressive toward his classmates. He complains of headaches. His mother informed you that Hunter saw his psychiatrist the week before, and his medication was adjusted. What do you suspect is the cause of Hunter’s change in behavior?
Emily is an 83-year-old outpatient with senile dementia, living with her daughter's family. Her family reports that Emily likes to watch television, but she cannot operate the remote control. They have to help her find stations. What adaptation do you recommend for Emily?