Your patient is an 18-month-old with a three day history of clear nasal discharge and a dry cough.  Her parents deny a fever and state she is taking fluids well though she has a decreased appetite.  You diagnose a URI.   Her parents ask about using over the counter medications for her cold.  Which of the following would be the best response?

Pain produced by manipulation of the auricle or pressure on the tragus suggest:

In a suspected child abuse case the NP is required to

Tino, a healthy 4 year old, comes into the clinic for a well child check.  He has had four DTaPs, three IPVs, one MMR, one varicella, and two hepatitis B vaccines.  What would you order today?

The nurse practitioner is treating a 10 month old infant who has painful grouped vesicles and ulcers on an erythematous base on the buccal mucosa, lips and palate.  The infant has had a wet diaper every four hours and has been running a fever of 102.  A diagnosis of coxsackie is made.  Which of the following is the most appropriate initial treatment for this infant?

Owen, age 4 years, is brought to the urgent care clinic by his mother who reports he has been listless, had a fever of 102 F, and a cough for the past 48 hours.  Prior to these more acute symptoms, he had had symptoms of a cold for the previous week.  You need to evaluate Owen for possible pneumonia.  Which of the following signs and symptoms are most consistent with the diagnosis of pneumonia?

A 16 y.o. male who plays basketball presents with anterior knee pain that has occurred intermittently over the past 3 months.  The pain is worse with squatting or walking up or down stairs and is better with rest.  On exam he is positive for tender, swollen tibial tuberosity in the L knee and is reproduced with passive hyperflexion of the knee. The most likely diagnosis is

A 5 year old boy is in the office for his kindergarten physical and up to date per his age but missed the 4 year appointment. The mom denies a history of chickenpox infection.  What immunizations should receive today?

When should a woman start having pap testing?

Bronchiolitis is frequently caused by respiratory syncytial virus (RSV) and can be a serious respiratory infection in young children.  Hospitalization is warranted if: