A 39-year-old Hispanic woman with long-standing diabetes pre…
A 39-year-old Hispanic woman with long-standing diabetes presents to primary care with fatigue, muscle weakness, mild nausea, and decreased appetite; labs show potassium 5.8 mEq/L (3.5–5.0), bicarbonate 17 mEq/L (22–28), and normal creatinine; the NP bases the plan of care on the knowledge that…
Read DetailsA 6-year-old boy presents with chronic diarrhea, abdominal d…
A 6-year-old boy presents with chronic diarrhea, abdominal distention, foul-smelling stools, irritability, and poor weight gain. His height has fallen from the 40th to the 15th percentile over the past year. Physical exam shows wasted buttocks and protuberant abdomen. The NP bases the plan of care on the knowledge that…
Read Details57-year-old man with chronic NSAID use presents with epigast…
57-year-old man with chronic NSAID use presents with epigastric burning that improves briefly with meals and returns several hours later. He denies hematemesis but notes occasional dark stools. Endoscopy confirms antral ulcers. The NP bases the plan of care on the knowledge that…
Read DetailsA 62-year-old woman undergoing chemotherapy reports new fati…
A 62-year-old woman undergoing chemotherapy reports new fatigue and mild muscle aches. Labs show mildly elevated lactate dehydrogenase. She has no fever or infection symptoms. The NP bases the plan of care on the knowledge that…
Read DetailsA 55-year-old lesbian woman undergoing inpatient psychiatric…
A 55-year-old lesbian woman undergoing inpatient psychiatric treatment for severe anxiety experiences sudden sharp chest pain and tachycardia. ECG shows diffuse ST elevation and PR depression. The NP bases the plan of care on the understanding that:
Read Details