A toddler presents to Urgent Care with a one hour history of left arm pain. The mom is primary historian, reliable and states the patient was playing with her siblings and began crying. The mom was not present in the room when the incident occurred and the siblings could not express with certainty what happened. Patient is left hand dominant. On inspection, you notice a tearful 2 year old who is favoring her left arm. You hand the patient a lollipop and she refuses to move her left UE. There is no swelling, ecchymosis, erythema, crepitus or deformity noted to the LUE. As the APRN caring for this patient, how would you proceed with care? Please include your plan of care including:  1. Diagnosis 2. Diagnostics (if applicable) 3. Treatment plan 4. Follow up 5. Differential Diagnosis (list 2)

A 16 year-old presents to the Urgent Care setting with a two day history of left calf pain. Dad is present with appropriate interaction. The patient states she is a softball pitcher which requires her to “push off forcefully” with her left leg. She states she felt a “pop” while pitching in her most recent softball game. She reports she has noticed an increase in swelling and bruising. When prompted, the patient reports the pain was a dull ache initially and is now “excruciating”. She is tearful and scared. The APRN should suspect [problem1] with [treatment1]. 

A patient who sustains a supracondylar fracture is at increased risk for?

What is the most characteristic finding on plain films of a patient with COPD?

On a plain radiographic film, what color/shade is fat?

As the APRN taking care of the patient with this type of fracture, what would be your method of treatment?  

What is the silhouette sign? 

What is your diagnosis in the following Chest X-Ray?

A 22 year old male presents with the CC of right hand pain. During questioning, the patient admits to “getting into a fight”. On PE, you notice bruising, and swelling to the lateral aspect of the right hand. You also note a small laceration spanning the fifth metacarpal. What would be part of your treatment plan? The patient has NKDA. 

The APRN would interpret the following chest x-ray: