Case Scenarios – Javaid Alam

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Welcome to the Case Scenarios collection.

New cases are added every month

A Case of Bradycardia and Urinary Symptoms from Donepezil Therapy

An 82-year-old female with a history of mild Alzheimer’s dementia was initiated on donepezil 10 mg nightly to enhance cognitive function and memory performance. The patient…

Diuretic-Related Urinary Frequency in an Older Adult

Mrs. Oliver is a 76-year-old female with a history of chronic heart failure and mild peripheral edema. To manage her fluid retention, her provider initiated bumetanide 1 mg o…

Hydrochlorothiazide and Gout: When Treatment Becomes the Trigger

Mrs. Jim is a 68-year-old female recently diagnosed with essential hypertension. Her provider initiated hydrochlorothiazide 25 mg once daily, resulting in satisfactory blood…

Electrolyte Depletion Following Combination Diuretic Therapy

David is a 74-year-old male with a past medical history of chronic systolic heart failure, hypertension, and type 2 diabetes mellitus. His long-term medications included carv…

Sertraline and Duloxetine Co-Administration: A Case of Duplicate Antidepressant Therapy

John, a 67-year-old male, has a medical history significant for type 2 diabetes mellitus, peripheral neuropathy, and major depressive disorder. He has been maintained on sert…

Applying Evidence-Based Criteria for Apixaban Dose Adjustment

Lisa is an 83-year-old female with a medical history of atrial fibrillation, hypertension, and osteoarthritis. Her current medications include apixaban 5 mg twice daily for…