Drug Therapy

Symptoms to Diagnosis

A 71-year-old woman with shock and a high INR

She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

MD IQ

The Clinical Picture

Methemoglobinemia in an HIV patient

He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.

Reviews

Medication management in older adults

Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.

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