Margaret is a 59-year-old Caucasian female who presents to the clinic for follow-up of her hypertension. She reports that she has a worsening of a tremor in her hand over the last few months. She was seen by a neurologist previously and was diagnosed with an essential tremor but opted to not take medication because it wasn’t particularly bothersome. She reports now that she has difficulty pouring a drink, drinking from a cup, using utensils to eat, and writing or drawing. Margaret also repo...

Case Study & Discussion Questions Margaret is a 59-year-old Caucasian female who presents to the clinic for follow-up of her hypertension. She reports that she has a worsening of a tremor in her hand over the last few months. She was seen by a neurologist previously and was diagnosed with an essential tremor but opted to not take medication because it wasn’t particularly bothersome. She reports now that she has difficulty pouring a drink, drinking from a cup, using utensils to eat, and wri...

Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut. A review of his records show that acute coronary syndrome was ruled out ...