Tim is a 48-year-old farmer who presents with a 5 day histor…
Tim is a 48-year-old farmer who presents with a 5 day history of fever, chills, and headache, as well as a rash to his entire body. He thought he had the flu, but when his rash has continued to worsen, his wife insisted he must be seen. He tells you he has no recent travel and did not receive his flu shot last fall. The rash initially was just on his wrists and ankles but now has moved inward and covers his trunk. He feels horrible but tells you he has “no time to be sick, I’ve got to get my soybeans out and I don’t have time for this garbage”. What is the best plan of care for you to offer to Tim?
Read DetailsDiane is a 21-year-old with complaints of abdominal pain. Sh…
Diane is a 21-year-old with complaints of abdominal pain. She is moving very carefully and slowly, making no unnecessary movements. When you inquire where her abdominal hurts, she points directly to the right lower quadrant with her index finger. Diane’s abdominal pain can best be described as one of:
Read DetailsLaksmi is a 28-year-old woman who presents with complaints o…
Laksmi is a 28-year-old woman who presents with complaints of severe nausea, vomiting, and diarrhea. In addition to the extreme symptoms, she has also noticed that her eyes appear yellow. She recently returned from a trip to Mexico where she ate raw oysters. You suspect hepatitis A. What is your best plan of care. Select all that apply.
Read DetailsCrystal, a 52-year-old female patient, is being seen today f…
Crystal, a 52-year-old female patient, is being seen today for eye pain. She told the medical assistant (MA) she started playing pickleball recently and loves it! Unfortunately, she wasn’t wearing eye protection and was hit in the eye with a ball; she also reports blurred vision and is sensitive to light. Below is an image of the patient’s eye. What is the most likely diagnosis and treatment for this patient?
Read DetailsA patient is being seen in clinic for the first time. When r…
A patient is being seen in clinic for the first time. When reviewing the initial patient information, the nurse practitioner notices the BMI is 34 kg/m2. The medical assistant has reviewed the patient’s home medication list and confirmed she is taking the medications listed in the electronic medical record. Anticipating the patient may want to talk about weight loss, what medications have the potential for weight gain?
Read DetailsA 29-year-old woman is newly diagnosed with early HIV infect…
A 29-year-old woman is newly diagnosed with early HIV infection. She is believed to have acquired HIV approximately six weeks prior from a male partner. She has a new male partner, but they have not yet had sex. You are discussing starting treatment and she is asking how likely is it that she will transmit HIV to her new partner. Which correct piece of education should you share with this patient regarding HIV transmission from persons with early HIV infection?
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