David is a 38 year old male who presents to the ER with a 30…
David is a 38 year old male who presents to the ER with a 30 minute history of facial and neck flushing, itching, HA, dizziness and N/V/D. David appears to be in mild acute distress and uncomfortable. He is accompanied by his wife. After prompting, the wife reports they had just sat down to dinner and because of their religion, they eat fish during Lent. The wife reports they had been to a local Sushi restaurant and David’s favorite appetizer is Ahi Tuna. As the APRN caring for David, you suspect he has _________ poisoning. Please fill in the blank.
Read DetailsSchool recently started for a 10-year old male. He has had…
School recently started for a 10-year old male. He has had intermittent vomiting (once daily) and abdominal pain for 3 to 4 days. He has had two very small, liquid stools without blood over these last few days. No fever. On physical exam, his abdomen is distended with hypoactive bowel sounds and he is tender to palpation in all quadrants. His abdominal film is presented below and demonstrates constipation. The APRN understands that constipation in adolescence is most commonly a consequence of
Read DetailsA 65 year old patient presents with a 4 day history of diarr…
A 65 year old patient presents with a 4 day history of diarrhea. After obtaining a thorough HPI, ROS and performing a Physical Exam, you order a stool culture, enteric pathogen panel, occult blood test and urine analysis. The urine analysis shows a specific gravity of 1.025 and ketones of 2. You recognize these UA findings are consistent with [answer1] and [answer2] respectively. (Fill in the blanks)
Read DetailsAn 70 year old presents with a 3 day history of abdominal pa…
An 70 year old presents with a 3 day history of abdominal pain. The patient reports he receives dialysis 3 days per week. On physical exam, the patient demonstrates rebound tenderness and guarding. The APRN understands that the presence of peritoneal signs or persistent focal tenderness on abdominal examination is suggestive of infection. The APRN should:
Read DetailsSchool recently started for a 10-year old male. He has had…
School recently started for a 10-year old male. He has had intermittent vomiting (once daily) and abdominal pain for 3 to 4 days. He has had two very small, liquid stools without blood over these last few days. No fever. On physical exam, his abdomen is distended with hypoactive bowel sounds and he is tender to palpation in all quadrants. His abdominal film is presented below and demonstrates constipation. The APRN understands that constipation in adolescence is most commonly a consequence of
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