Esmeralda, 58-year-old female, she is at the Outpatient Anticoagulation Clinic for routine warfarin management following a heart procedure two months ago. Assess her adherence, identify potential interactions or factors affecting INR stability, and address her concerns about long-term warfarin use.

Thirty-six-year-old Carloz Alvarez is experiencing severe facial pain and pressure, nasal congestion and thick nasal discharge. His symptoms started 10 days ago and have been worsening since then.

Seventy -year-old Richard Adams is experiencing chest pain and breathlessness during physical exertion, especially during his morning walks, with each episode lasting a few minutes. The symptoms started six months ago and have worsened progressively, limiting his ability to exercise.

Five-year-old Joshua is being evaluated for complaints of ear pain for the past 24 hours. Joshua has been tugging at his ear and crying because of the discomfort. You need to talk to Joshua’s father to understand the symptoms and diagnose Joshua.

Michael Thompson is a patient who is visiting his primary care clinician because he has been feeling increasing fatigue over the past six months with intermittent claudication that started about three months ago.

Mr. Wilson’s has noticed a gradual worsening of vision over the past year which has been persistent and progressive. He is finding it hard to see at night and is experiencing a sensitivity to light and glare. Wearing glasses is not helping with the vision clarity.

Jane is being evaluated for recurrent episodes of sneezing, nasal congestion, and itchy eyes, which especially occur during spring and fall. Her symptoms have been present for a few weeks and typically last for 4-6 weeks, aligning with the seasons.

Linda Nguyen is seeking medical help after she started seeing flashing lights and a shadow over her vision in her right eye. This sudden onset of symptoms started and a day prior and has been persistent since then. The visual change is adversely affecting her ability to see clearly causing grave discomfort.

Emily Chen is visiting her primary care provider to get help for her severely sore throat. There was a sudden onset of symptoms three days earlier causing difficulty in swallowing, there is redness in her throat and the glands feel swollen. She is also experiencing low grade fever.

Elizabeth Martinez, 68-years-old, is experiencing palpitations and shortness of breath. Her symptoms started two months ago but have become frequent recently. Episodes last from a couple of mintues to several hours and feel like irregular heartbeats.

Megan O’Sullivan has been feeling tired and fatigued lately. She finds it difficult to go to sleep and has tried over the counter medication for her insomnia. She has lost her appetite and has lost 10lbs in the last three months. She has never been diagnosed for any mental illness.

Kirsten’s husband Rob has been diagnosed with terminal lung cancer and Kirsten must be informed. This scenario helps participants learn to navigate such delicate situations and deliver empathetic support.

Thomas Brown is here for an evaluation of a productive cough and fever he’s had for the past few days with increasing shortness of breath.

Carlos, 36 years old, has recently been experiencing a sore throat and hoarseness. More of a discomfort than a pain. Soreness increases after he has a large meal or lies down after a meal. Spices and tomatoes make it worse.

Joan is visiting a pediatric primary care clinician with her 2-year-old son Aiden to get help for his persistent cough, wheezing, and runny nose.

David is suffering abdominal discomfort for the past three days. He’s had a 100F fever with a cramping pain in his belly. He does not have any shortness of breath but he feels nauseous with an urge to vomit.

Andrew works as an accountant in a office. He leads a relatively idle lifestyle with extended hours behind the desk and regular takeaway meals. Recently, he has been getting headaches which are not getting any better.

Roberto is 47 years old and has come in with a severe pain in his right toe. He has never had this kind of pain before and has not even injured his toe recently.

Billy Crudup, 56-years-old, is seeking care for a left knee pain that flared up three days ago. He does not remember having suffered any injury to his knee. It’s a dull and constant pain that gets worse on walking.

Shyanne, 34 years old, is suffering from frequent vaginal yeast infections for over a year. Her water intake has gone up significantly since she is often feeling thirsty during the day and washroom visits have increased.

Janet, 42 years old, started experiencing a pain in her left leg the previous night. It started all of a sudden and starts from her left buttock going all the way down to her left toe. She does not remember getting hurt.

Alethea, 46 years old female, lives in South Carolina with her husband Robert feels extremely tired during the day. Her husband says she snores loudly and sometimes it seems like she stops breathing for a couple of seconds.