David is a 38 year old male who presents to the ER with a 30 minute history of facial and neck flushing, itching, HA, dizziness and N/V/D.  David appears to be in mild acute distress and uncomfortable. He is accompanied by his wife.  After prompting, the wife reports they had just sat down to dinner and because of their religion, they eat fish during Lent. The wife reports they had been to a local Sushi restaurant and David’s favorite appetizer is Ahi Tuna. As the APRN caring for David, you suspect he has _________ poisoning. Please fill  in the blank. 

Heterophile antibodies are generally not produced by the body or detectable until 6 to 10 days after symptom onset. Lymphocyte production is often seen first.  

The more sensitive and specific diagnostic evaluation for pancreatitis is

Heterophile antibodies are generally not produced by the body or detectable until 6 to 10 days after symptom onset. Lymphocyte production is often seen first.  

For a patient where pinworms are suspected,  what is the best diagnostic to confirm your diagnosis? 

For a patient where pinworms are suspected,  what is the best diagnostic to confirm your diagnosis? 

An 11 year old presents with CC of a dry, hacky cough, low grade fever (

A new mom presents to the clinic stating “I don’t know what is wrong with my baby. She seems very uncomfortable and cries a lot”. On inspection you note a 6 week old infant that is well nourished, well groomed, and in mild acute distress. Parental interaction with infant is appropriate, but the infant is inconsolable. Mom denies N/V/D or constipation. Denies fever, chills, body aches or rashes. She is currently breast-fed; wetting and soiling appropriate amount of diapers. The diagnosis that best represents the patient’s condition is?

A 26 year old presents with recurrent abdominal cramping associated with defecation. He states, “I have 4-5 bouts of diarrhea per day”. The stools are bloody with mucus and pus. He reports some fatigue. He denies recent travel or outdoor camping. While assessing his VS, you notice he has lost 4 pounds since his previous visit one month ago. Which of the following conditions is most likely? 

Thomas Jefferson wrote which text?