An adult male presents to the clinic because of 15 pound wei…
An adult male presents to the clinic because of 15 pound weight gain over three months. He has no previous past medical history and feels fine except for fatigue.On physical examination, he is slightly icteric, no right upper quadrant pain or hepatomegaly. he has moderate shifting dullness in the abdomen and significant peripheral edema.He has several tattoos on his arms.Laboratory studies are ordered.What would the nurse practitioner expect to find on the serologies?
Read DetailsA 32 year old male comes to the clinic complaining of “cough…
A 32 year old male comes to the clinic complaining of “coughing up blood” and significant sweating during the night. He has no history of respiratory or cardiac problems. Vital signs are pulse 76, blood pressure 140/74, temperature 99F. Which diagnostic studies should be ordered first?
Read DetailsThe nurse practitioner’s physical exam on a 21 year old coll…
The nurse practitioner’s physical exam on a 21 year old college student is as follows: disheveled appearance, 5-lb weight loss since last visit 2 months ago, pulse strong and regular at 128, +4 deep tendon reflexes (DTRs), pupillary dilation, psychomotor agitation, chest pain with his EKG showing premature ventricular contractions (PVCs), nasal mucosa erythematous and ulcerated. He has developed avoidance of family and dangerous behaviors with sexual impulsivity, decreased appetite, insomnia and he is failing two classes. The NP suspects drug use of:
Read DetailsJonathan is a 23 year old male, who comes to your clinic tod…
Jonathan is a 23 year old male, who comes to your clinic today with complaints of a sore throat. He complains of difficulty swallowing and has some mouth pain. On examination, you note that his mouth, tongue, and pharynx are covered with a white curdlike plaque that is very difficult to remove and it has a red surface in areas that it has been removed. What action would you recommend at this time?
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