A 24-year-old female patient comes to the nurse practitioner’s office with a complaint of one day of fever of 102°F (38.9°C), a diffuse macular rash, vomiting, headache, and decreased urine output. Which information obtained in the patient’s history would be most significant given the patient’s clinical presentation?
Read DetailsA patient reports prolonged stiffness in the neck and back almost every morning for the last few weeks. She also reported being tired all the time and generalized pain in her pelvis and shoulders. Labs indicate elevated ESR (50 mm/hr), normal rheumatoid factor, normal creatine phosphokinase, and normochromic normocytic anemia. Temperature is slightly elevated. Other vital signs are normal. Based on this information, what is the most appropriate diagnosis?
Read DetailsA college campus health nurse practitioner is reviewing a case from the previous week with the nurse practitioner learner. The patient complained about being tired all of the time which was affecting her grades and causing stress. The patient also said she frequently leaves the classroom due to diarrhea and she has lost eight pounds without even trying. She often has abdominal pain in the lower right quadrant. What diagnosis would the nurse practitioner learner anticipate?
Read DetailsAfter the loss of his wife five months ago, a 67-year-old male patient began abusing alcohol. He has no prior medical problems and no history of alcoholism. Which of the following would be the most likely cause of new-onset anemia development in this patient?
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