Case Scenario: A 70-year-old woman has been experiencing gra…
Case Scenario: A 70-year-old woman has been experiencing gradual memory loss, difficulty with problem-solving, and changes in her personality. Her family notices that she is becoming increasingly confused and disoriented. What is the most likely diagnosis?
Read DetailsA patient presents in the emergency department (ED) with fev…
A patient presents in the emergency department (ED) with fever, chills, general malaise, and mild ventilatory distress. The patient has been in a long-term care center for the past 6 months and is currently producing thick, yellow sputum. Which of the following should the respiratory therapist do?
Read DetailsA patient is brought into the ER with chest pain. The physic…
A patient is brought into the ER with chest pain. The physician is having difficulty confirming the patient’s diagnosis through an ECG. Blood results show an elevated level of CPK-2. What can the physician suspect after reviewing the blood work?
Read DetailsYou are the clinician at the student-health center at a larg…
You are the clinician at the student-health center at a large university. Josh, a 19-year-old male college student with a history of chronic migraines, has been experiencing a headache and vomiting for about 24 hours. His roommate and friends have not been ill. He and his roommate just returned a day ago, from a 3 day hiking trip to Washington State with his Labrador retriever. His roommate reports that he brought Josh to the clinic because, “he isn’t acting right this morning.” Your exam reveals the following: altered mental status, headache, and vomiting. While having Josh lie flat on his back, you flex the thigh so that it is at a right angle to the trunk (see image below). You note severe hamstring stiffness causing an inability to straighten the leg due to severe pain. Which of the following is the most likely differential diagnosis?
Read DetailsTony, an advanced practice nurse, is conducting a telehealth…
Tony, an advanced practice nurse, is conducting a telehealth virtual exam. Tony instructs the 65-year old male patient to sit in a chair and to perform the following maneuvers: Extend his left leg and pull his left toes toward his body. Next, tuck his chin down to touch his chest. If pain is elicited in the patient’s left buttock and leg, then this could indicate:
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