A 14-year-old boy presents to the clinic with complaints of…
A 14-year-old boy presents to the clinic with complaints of frequent headaches over the past six months. He describes the pain as a continuous, dull ache that starts in the neck and occiput and sometimes spreads to the forehead. The headaches occur almost daily, especially during school days, and are often worse in the afternoon. He denies any nausea, vomiting, or visual disturbances. His mother mentions that he has been under a lot of stress due to school exams. On physical examination, the patient appears well, and his neurological examination is normal. What is the most appropriate first-line treatment option for this patient?
Read DetailsA young adolescent reports chest pain associated with coughi…
A young adolescent reports chest pain associated with coughing and lifting. Physical examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart, lungs, and abdomen are normal. There is no history of injury. What will the primary care nurse practitioner do?
Read DetailsA child who has sustained a head injury after falling on the…
A child who has sustained a head injury after falling on the playground is brought to the clinic. The parents report that the child cried immediately and was able to walk around after falling. The primary care nurse practitioner notes unequal pupils and the child has vomited twice in the exam room. Which course of action is warranted?
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