Katie is a 14-year-old girl who presents with tachypnea. K…
Katie is a 14-year-old girl who presents with tachypnea. Katie’s mother reports she began to “start breathing hard” after helping her mow the lawn. You note that Katie has increased work of breathing with accessory muscle use and wheezing upon auscultation. Your suspected primary diagnosis for Katie is:
Read DetailsHarry is a 75-year-old gentleman who presents to the urgent…
Harry is a 75-year-old gentleman who presents to the urgent care where you are working with a complaint of “chest pain.” He reports chest pain intermittently with exertion, such as working in his garden, but then resolves with rest. Chest pain is described as “pressure” and is without radiation. Associated factors include mild SOB and diaphoresis. Pertinent past medical history includes diabetes mellitus and former tobacco abuse. While waiting in the waiting room to see you Harry reports he began feeling return of his chest pain and it has not resolved. You perform an EKG and note ST elevation in leads II, III, & AVF. Harry’s current chest pain is most likely related to:
Read DetailsHattie is a 60-year-old female with PMH significant for HTN,…
Hattie is a 60-year-old female with PMH significant for HTN, DM II, and ongoing tobacco abuse who was recently found to have a 48 mm ascending thoracic aortic aneurysm by echocardiogram. You have reviewed Hattie’s echo with the cardiothoracic service, and there is no surgical intervention indicated at this time, and serial follow-up/monitoring has been recommended. As Hattie’s nurse practitioner, what is the most important treatment measure you will recommend to Hattie?
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