In preganancy, WBCs are normally elevated a bit because of an increase in neutrophils.

patient with red eye in only the left eye (medial part only).  

toprol xl
Lotrel  -- combo drug for blood pressure that is kinda high

Glucovance

Zestoretic -- a diuretic and an ACE inhibitor

Hypertension: 140/90 on 2 consecutive visits 2 weeks apart.
I. Primary (essential)
II. Secondary (exogenous substances, renal failure, sleep apnea, renovascular disease, primary aldosteronism, pheochromocytoma, Cushing syndrome)

Eye Case 1::
Blepharitis?
16 month old kid (can't talk) comes in with an inflammed upper eye-lid (left side only).  I am thinking its some type of infection (the conjunctiva is not red or has any type of discharge).  After close inspection/plapation, we notice a small nodule (not a chalazion) in the middle of the inflammation.

DX:  insect bite (wasp)

TX: corticosteroid cream

Human Immunodeficiency Virus

Pathogenesis -- HIV-1 infects lymphocytes with the CD4 marker.  CD4 lymphocytes are involved in cell-mediated immunity and their depletion also impairs B-cell activation.  --> AIDS

Transmitted by sexual contact, IV drug use, breast-feeding, needle-stick injuries

27 y.o. man presents with wrist drop, numbness on the dorsum of his hand after drinking friday night (2 days ago).

Diagnosis:  saturday night syndrome (compression of radial nerve)

Shoulder Pain -- more common in middle to older age people.

Causes of Dyspnea::

Acute:
-pneumonia (elevated WBC)
-MI (ST-segment changes on ECG)
-PE
-acites
-kyphoscoliosis
-obesity

Chronic:
-asthma (normal O2)
-COPD (smoker, barrel-chested, hyperinflation on xray)
-CHF (swollen legs/peripheral edema, murmurs, S3, pulmonary edema on xray, Elevated BNP)
-angina (will have chest pain, ST segment changes)
-PE (may have a swollen leg)
-anemia (signs of bleeding -- melena, uterine bleeding)
-anxiety (perioral numbness, stress, paresthesias)

Treating Pneumonia

Some cases will need to be hospitalized: (just think of messed up vital signs, comorbidites, etc.)
-systolic pressure < than 60
-pulse > than 140
-PO2 < than 90% or 60 mmHg
-presence of an abscess or pleural effusion
-metabolic abnormalities
-other diseases also present: CHF, renal failure, malignancy, diabetes mellitus, COPD
-is oder than 65 y.o.
-social situation messed up