A 60-year-old woman presents with neck pain for 8 weeks that…
A 60-year-old woman presents with neck pain for 8 weeks that radiates into her right thumb and index finger. She has completed NSAID therapy and physical therapy without improvement. On examination, she has weakness of right wrist extension and diminished brachioradialis reflexes. What is the most appropriate next step?
Read DetailsA 24-year-old basketball player lands awkwardly after a rebo…
A 24-year-old basketball player lands awkwardly after a rebound and immediately feels a “pop” in his knee. Within 2 hours, significant swelling develops. He reports that the knee feels unstable when attempting to walk. Which injury is most likely?
Read DetailsA 54-year-old man presents to the primary care clinic with a…
A 54-year-old man presents to the primary care clinic with a complaint of musculoskeletal pain. During the history and physical examination, the nurse practitioner identifies several findings. Which findings should be considered musculoskeletal “red flags” that warrant further diagnostic evaluation or urgent referral? Select all that apply.
Read DetailsAn 80-year-old woman with diabetes presents with a 3-week hi…
An 80-year-old woman with diabetes presents with a 3-week history of progressively worsening thoracic back pain. She developed chills and a headache yesterday but is unsure whether she had a fever. In clinic, her temperature is 101°F (38.3°C). Examination reveals focal tenderness over the mid-thoracic spine without erythema or swelling. She has no lower extremity weakness, numbness, or bowel/bladder dysfunction. Which of the following is the most appropriate next step for the Nurse Practitioner to take in the evaluation of this patient?
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