A hospitalized adult suddenly develops pleuritic chest pain…
A hospitalized adult suddenly develops pleuritic chest pain and absent breath sounds on one side. Imaging confirms tension pneumothorax. The NP bases the plan of care on the knowledge that hemodynamic collapse MOST likely results from which mechanisms?
Read DetailsA 47-year-old transgender woman receiving gender-affirming c…
A 47-year-old transgender woman receiving gender-affirming care presents with decreased libido, fatigue, reduced muscle mass, and low mood; labs show total testosterone 182 ng/dL (300–1000 for natal males) and LH 11 IU/L (2–9); the NP bases the plan of care on the knowledge that…
Read DetailsA 29-year-old woman reports intense vulvar itching, thick wh…
A 29-year-old woman reports intense vulvar itching, thick white discharge, and external erythema that worsens after antibiotic use. She denies fever or pelvic pain. Exam confirms labial edema and adherent white plaques. The NP bases the plan of care on the knowledge that…
Read DetailsA 58-year-old patient is evaluated for treatment-resistant h…
A 58-year-old patient is evaluated for treatment-resistant hypertension, new onset of renal insufficiency after starting an ACE inhibitor, and abdominal bruit on exam; labs show rising creatinine with otherwise normal urinalysis; the NP bases the plan of care on the knowledge that…
Read DetailsA 49-year-old woman presents with severe muscle weakness, bo…
A 49-year-old woman presents with severe muscle weakness, bone discomfort, and difficulty rising from a chair; vitamin D is 7 ng/mL (normal 30–100) and calcium is 7.8 mg/dL (normal 8.5–10.5); the NP bases the plan of care on the knowledge that…
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