School recently started for a 10-year old male. He has had…
School recently started for a 10-year old male. He has had intermittent vomiting (once daily) and abdominal pain for 3 to 4 days. He has had two very small, liquid stools without blood over these last few days. No fever. On physical exam, his abdomen is distended with hypoactive bowel sounds and he is tender to palpation in all quadrants. His abdominal film is presented below and demonstrates constipation. The APRN understands that constipation in adolescence is most commonly a consequence of
Read DetailsA 65 year old patient presents with a 4 day history of diarr…
A 65 year old patient presents with a 4 day history of diarrhea. After obtaining a thorough HPI, ROS and performing a Physical Exam, you order a stool culture, enteric pathogen panel, occult blood test and urine analysis. The urine analysis shows a specific gravity of 1.025 and ketones of 2. You recognize these UA findings are consistent with [answer1] and [answer2] respectively. (Fill in the blanks)
Read DetailsAn 70 year old presents with a 3 day history of abdominal pa…
An 70 year old presents with a 3 day history of abdominal pain. The patient reports he receives dialysis 3 days per week. On physical exam, the patient demonstrates rebound tenderness and guarding. The APRN understands that the presence of peritoneal signs or persistent focal tenderness on abdominal examination is suggestive of infection. The APRN should:
Read DetailsSchool recently started for a 10-year old male. He has had…
School recently started for a 10-year old male. He has had intermittent vomiting (once daily) and abdominal pain for 3 to 4 days. He has had two very small, liquid stools without blood over these last few days. No fever. On physical exam, his abdomen is distended with hypoactive bowel sounds and he is tender to palpation in all quadrants. His abdominal film is presented below and demonstrates constipation. The APRN understands that constipation in adolescence is most commonly a consequence of
Read DetailsA 36-year old patient presents with a 4 day history of diarr…
A 36-year old patient presents with a 4 day history of diarrhea, fever, chills and a HA. While obtaining the patient’s HPI, she reports she is currently 18 weeks pregnant. She denies exposure to illness or recent foreign/domestic travel. She denies that anyone else in the home has experienced similar symptoms. With prompting, the patient does state she recently ate at a local sandwich shop for lunch. As the APRN caring for this patient, you suspect the cause of her diarrhea is associated with:
Read Details