A 53-year-old patient has episodic vertigo lasting hours, unilateral hearing loss, tinnitus, nausea, and a sense of fullness in one ear. Neurologic examination between episodes is normal. The NP bases the plan of care on

A patient presents with a rapidly enlarging region of painful erythema, warmth, and edema involving the lower leg. The abnormality extends beyond individual hair follicles, and examination suggests involvement of dermis and subcutaneous tissue. The NP bases the plan of care on the understanding that…

A 70-year-old patient with severe hypothyroidism becomes progressively lethargic during a respiratory infection. The patient is hypothermic, bradycardic, and minimally responsive. Family members state that increasing fatigue and slowed cognition had been attributed to depression for several months. The NP bases the plan of care on

A 73-year-old patient reports progressive dysphagia, unintentional weight loss, and a sensation of food sticking after swallowing. Symptoms have become steadily worse over several months. The NP bases the plan of care on the understanding that…

A 69-year-old patient reports pelvic pressure and a sensation of vaginal bulging that worsens after standing. She also has urinary and defecatory difficulty. Examination shows descent of pelvic organs. The NP bases the plan of care on the understanding that…

A 58-year-old patient reports recurrent inability to attain or maintain an erection. Vascular disease and medication effects are being evaluated, and endocrine testing is planned. The NP bases the plan of care on the understanding that…

A 36-year-old patient has amenorrhea, galactorrhea, infertility, and progressive headaches. Visual testing identifies peripheral field abnormalities. The NP bases the plan of care on

A 55-year-old patient has abnormal uterine bleeding with variable cycle frequency and increased blood-loss volume. The clinician is considering both structural and nonstructural causes. The NP bases the plan of care on the understanding that…

A 57-year-old patient has intermittent painless hematuria, unintentional weight loss, and a newly identified renal mass on imaging. The NP bases the plan of care on the understanding that…

A 52-year-old patient taking an antipsychotic develops decreased libido, menstrual irregularity, and galactorrhea. The NP is evaluating prolactin elevation and medication effects rather than assuming a primary psychiatric cause. The NP bases the plan of care on the understanding that…