A 29-year-old patient presents with right lower quadrant abd…
A 29-year-old patient presents with right lower quadrant abdominal pain that worsens when walking. The nurse practitioner suspects appendicitis and performs several provocative maneuvers during the exam.Which maneuver would be most helpful in supporting this diagnosis?
Read DetailsA 34-year-old patient presents with several painless lesions…
A 34-year-old patient presents with several painless lesions on the vulva that have gradually increased in size over the past three months. On exam, the lesions are soft, exophytic, and vary in shape, with some appearing flat and smooth while others are pedunculated with a finely lobulated surface. The patient has had no dysuria, pruritus, or systemic symptoms. Based on the information provided, what diagnosis do you suspect?
Read DetailsA 22-year-old college student presents to the emergency depa…
A 22-year-old college student presents to the emergency department with fever, severe headache, photophobia, and neck stiffness. On examination, passive neck flexion causes involuntary hip and knee flexion. She also reports sharp pain when you extend her knees while her hips are flexed. Which assessment findings are these maneuvers demonstrating?
Read DetailsA 27-year-old woman comes to the clinic reporting a painless…
A 27-year-old woman comes to the clinic reporting a painless lump near the opening of her vagina that she noticed two days ago. She denies fever or significant discomfort but says the lump feels “like a small marble” when she sits. On exam, you observe a soft, non-tender mass at the 4 o’clock position of the vaginal introitus. Based on the information provided, this finding is likely which of the following?
Read DetailsA 45-year-old patient presents with double vision that worse…
A 45-year-old patient presents with double vision that worsens when looking in different directions. On exam, the nurse notes impaired extraocular movements (EOMs). The patient is unable to fully adduct the right eye, has difficulty looking downward when reading, and demonstrates limited lateral movement of the left eye. These findings suggest involvement of which cranial nerves?
Read DetailsA 42-year-old patient reports gradually worsening elbow pain…
A 42-year-old patient reports gradually worsening elbow pain that increases when lifting grocery bags or gripping objects tightly. On exam, pain is reproduced when the patient makes a fist and flexes the wrist against resistance, and tenderness is noted just anterior to the medial aspect of the elbow. Which diagnosis is most likely based on the information given?
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