The nurse practitioner is assessing a 1-week-old infant and…
The nurse practitioner is assessing a 1-week-old infant and is testing his muscle strength. The nurse lifts the infant with hands under the axillae and notices that the infant starts to “slip” between the hands. The nurse should:
Read DetailsA 14-year-old boy presents to the ED with sudden onset of se…
A 14-year-old boy presents to the ED with sudden onset of severe left testicular pain that began 90 minutes ago while he was sitting in class. He has associated nausea and one episode of vomiting. He denies trauma. On exam, the left testicle is high-riding and horizontally oriented. The scrotum is mildly swollen and tender, and the cremasteric reflex is absent on the left. Transillumination is negative. Which of the following is the most appropriate next step in management?
Read DetailsA 6-year-old boy is brought to the ED because his parents ar…
A 6-year-old boy is brought to the ED because his parents are concerned that “his foreskin won’t pull back.” The boy has no pain with urination, no ballooning of the foreskin during voiding, and no history of urinary tract infections. On exam, the foreskin is non-retractable but appears healthy with no scarring, cracking, or whitening. The urethral meatus is not visible. There is no erythema or discharge. Which of the following is the most appropriate next step in management?
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