A 36 year old presents with complaints of redness and irrita…
A 36 year old presents with complaints of redness and irritation to her left eye for 2 days. She reports she wakes up with “a lot of gunk” built up on her eyelashes and yellow discharge. She states no further discharge develops during the day. She reports a “sandy” type of irritation when she rubs hit. She denies any recent illnesses other than “well I caught a cold from my toddler”. She denies changes in vision. Medical history includes migraines, hypothyroidism, and seasonal allergies. The AGACNP examines the following: (Photo obtained by Dr. Sara Damron, DNP, APRN with consent from patient.) What is the most appropriate treatment?
Read DetailsA 19 year old female presents with complaints of redness, pa…
A 19 year old female presents with complaints of redness, pain, and irritation to right eye that began yesterday. She reports she woke up this morning and the same symptoms are present in her left eye. She complains that the drainage in her eyes is increasing. On exam the AGACNP notes globular white discharge in both eyes, though worse in the right. The upper and lower eye lids are swollen. The AGACNP then asks about other infections and sexual history. The patient shyly reports similar vaginal discharge and recent sexual intercourse without protection. What is the most appropriate treatment plan?
Read DetailsA 17 year old presents with complaints of sore throat, nasal…
A 17 year old presents with complaints of sore throat, nasal congestion, and headache for 2 days. He reports becoming ill after a weekend spent with a few friends. The AGACNP performs a full ENT exam and finds the following: What is the most appropriate treatment plan for this patient?
Read DetailsA 50 year old female presents to the emergency room after a…
A 50 year old female presents to the emergency room after a fall one hour prior to arrival. She complains of immediate right hip pain radiating to her knee. She describes the pain as sharp and made worse with weight bearing. Two view right hip x-rays reveal a proximal femur fracture. Which exam finding most correlates with this type of fracture?
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