A non-toilet trained infant is brought into the clinic for a…
A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?
Read DetailsA 36-year-old female was working on her deck 2 hours ago whe…
A 36-year-old female was working on her deck 2 hours ago when her thumb got caught between two planks of wood. She is reporting severe persistent pain in the left thumb nail and states it seems to be getting worse. On exam the patient’s thumb nail has black/purplish discoloration underneath the intact nail. She maintains normal AROM, and is neurovascularly intact. There is a XR negative for fracture. Based on her exam, what is your diagnosis and what would you recommend?
Read DetailsWhat sensory screening is recommended universally at the fol…
What sensory screening is recommended universally at the following Well Child Visits: newborn, 1 week, 2 month, 4 year, 5 year, 6 year, 8 year, 10 year and once during early, once during middle and once during late adolescence?
Read DetailsAn adult patient reports occasional anal bleeding with defec…
An adult patient reports occasional anal bleeding with defecation and pruritis. On examination the nurse practitioner notes non-thrombosed external hemorrhoids around the anal orifice as the patient is bearing down. The hemorrhoids are not actively bleeding. Patient is afebrile and does not have any other associated symptoms and physical exam is otherwise unremarkable. What is the initial treatment for symptoms?
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