Three hours after alcohol binge drinking, a 39-year-old male has severe epigastric pain radiating through to the back. He is vomiting. The patient’s blood pressure is 105/70 mm Hg, pulse 115/min, and respirations 24/min. Examination of the lungs and heart are normal. Epigastric tenderness and decreased bowel sounds are noted. Which of the following is the most likely diagnosis?
Read DetailsA 48-year-old woman comes to your office with a 1-year history of episodic dizziness, ringing in both ears, and hearing loss. She describes her dizziness as “everything spinning around me.” The symptoms recur every 2 weeks and can last anywhere from 4-8 hours. She reports feeling tired after the episodes. On physical examination, the patient has notable spontaneous nystagmus. The NP recognizes the most likely diagnosis:
Read DetailsA 30-year-old female presents with pain on urination as the only presenting symptom. The urine microscopy of the urine shows greater than 10 leukocytes per high power field, presence of RBCs, and a urine dipstick is positive for nitrites. What is the probable diagnosis?
Read DetailsA patient with a history of allergies presents with a severe rash on the dorsum of her hands that she has had for several months. The palmar surface is spared. Her work requires that she wash her hands frequently with antibacterial soap. The most likely diagnosis is:
Read DetailsWhat areas of the brain might be affected? 86 y/o male Gradual onset of right sided weakness and speech difficulties •Gait problems •Verbal responses were sluggish. Articulation was imprecise. Speech was hesitant and slow. Syntax and phrase structure impaired•Speech perception intact
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