Clinical Vignettes Antonio, a 52-year-old attorney with hypertension and diabetes mellitus, developed fever, cough, and shortness of breath. Upon presentation to the emergency room, he tested positive for SARS-CoV-2. He was noted to have pneumonia, low oxygen saturation (< 85%), and was initially given high-flow canula oxygen, but went on to develop acute respiratory distress syndrome […]
Clinical Vignette Ms. Ella Smith is a 35-year-old Critical Care Nurse who identifies as female. She tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) about 3 months ago. She was hospitalized for 1 day but did not require mechanical ventilation. Initial symptoms included shortness of breath, cough, fever, fatigue, and difficulty […]
Vignette Jessica is a married, 30-year-old Latina woman with no children. She was referred by her gastroenterologist for help with her recent diagnosis of Crohn’s disease, a type of inflammatory bowel disease (IBD). She is anxious about the implications of having the disease and is worried that she might not be able to start a […]
Vignette Carla, a 55-year-old Hispanic female, has been in weekly outpatient treatment with you for major depression for three months. As she walks in today, it appears she has been crying. Her affect is flat as she begins to talk. She reports she is feeling “quite down and confused” today. She has a past medical […]
Clinical Vignette Patrick1 is a single, 45-year-old male who presents with widespread chronic pain that has become intolerable. His GP cannot find any physical reason for the current exacerbation of his pain and consequent disability—and made the referral for an assessment. His pain started in his 20s when he experienced a number of sports injuries […]
Clinical Vignette Kayla, a 13-year-old girl with type 1 diabetes (T1D), was referred for outpatient psychological services because of concerns about depressed mood and lack of engagement in diabetes self-care. In your interview with her, she stated that she “doesn’t care” about her health, and expressed frustration and anger about her parent’s “nagging” about diabetes. […]
Clinical Vignette Jenny is a 2-year, 1-month-old toddler whose parents report continuing concerns about her development. Her pediatrician has responded with a request for a detailed developmental assessment. Language is a major area of worry, although motor skills are delayed, and Jenny is described as “clumsy.” Jenny was born at 25 weeks gestational age. She […]
Clinical Vignette Natalie is a 42-year-old woman experiencing panic attacks after an industrial accident in which she lost four fingers on one hand. While working on a hot plastic molding press, the machine malfunctioned—closing on her left hand and amputating her four fingers but sparing her thumb. She sustained both a crushing amputation and a […]
Dr. Ryee discusses the assessment and management of celiac disease and other gluten-related conditions.
Dr. Hoover discusses various presentations of acute and chronic pain in the integrated care environment and presents assessment and management techniques using pharmacological and non-pharmacological approaches.
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