A patient states that there was a deer tick crawling on her…
A patient states that there was a deer tick crawling on her about a month ago. She was sick with a what she thinks was a cold about a week ago and is now concerned that she has contracted Lyme Disease. The nurse practitioner gets the following results from the serology studies: Western blot IGG and IGM show all bands as negative or non-reactive. The nurse practitioner correctly offers the following information:
Read DetailsA construction worker with a history of Raynaud’s phenomena…
A construction worker with a history of Raynaud’s phenomena and migraines presents to the clinic with marked color changes and tingling on both hands after prolonged use of the jackhammer. Vital signs are: 142/78, HR 68, Resp 12, temp 97.0. Medications include metoprolol tartrate (Lopressor) 100 mg BID for migraine prevention, and aspirin 81 mg 1 daily. What will the nurse practitioner do?
Read DetailsA 35 y/o obese male presents to the clinic with complaints o…
A 35 y/o obese male presents to the clinic with complaints of fatigue, headaches throughout the day which are worse in the morning, wakes frequently during the night with a choking sensation, and daytime somnolence. Blood pressure is 168/98 (retaken three times while he was in an upright position with feet flat on the floor), 02 sat is 98%, and assessment reveals no abnormalities. You suspect his symptoms are related to:
Read DetailsA patient felt a “pop” in their knee while straining to pull…
A patient felt a “pop” in their knee while straining to pull a large weed out of the garden. The knee is painful, swollen and tender over the patellar area and the patient feels that knee may “give out”. What is the potential diagnosis?
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