A 20-year-old patient presents with a 2-day history of right sided otalgia, itchy ear and a feeling like “my ear is full of water.” You palpate the external ear, helix and tragus. The patient withdraws and states “that hurts!” You diagnose this patient with otitis externa and note/recommend:
Read DetailsYour last patient of the day is a 78-year-old man with a history of stage 2 chronic kidney disease. He is not anemic. His GFR is 54 mL/min/1.73 cm2. Based on this criteria, how often would you monitor this patient for anemia of CKD?
Read DetailsYour next patient is 73-year-old female with progressive right hip pain. She has been having symptoms for months. She has noticed the beginning signs of limited mobility, especially over the past 3-4 week. As you consider your patient’s age, hip anatomy, and previous history, you know the following:
Read DetailsIntractable dizziness can be complicated to evaluate in the older adult. Always concerned about fall risk, fracture and/or head injury. This population may multiple medications and have numerous specialists prescribing their medications. It is your job as a primary care provider to look at all of their medications What medications are NOT generally problematic and can be used safely without caution for the older patient population?
Read DetailsYour next patient is a 22-year-old woman who presents with shortness of breath. Asthma is in your list of differentials for shortness of breath. You ordered a short acting beta 2 treatment to determine reversible airflow obstruction. The APRN knows the following about the diagnosis of asthma:
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