An 11-month-old and is brought into the clinic for a rash. T…
An 11-month-old and is brought into the clinic for a rash. The patient’s mother reports her child is irritable and is up at night scratching. The NP notes several erythematous papules and vesicles on the soles of the feet, ankles, wrists, and thumb-first finger web space. There is no associated fever. The child was enrolled at a new daycare 1 month ago. The mother has tried topical hydrocortisone without relief. The NP prescribes:
Read DetailsA 25-year-old male presents with a rash that appeared severa…
A 25-year-old male presents with a rash that appeared several days ago. He reports pruritis that has worsened since the first rash appeared. The rash started as a quarter sized oval lesion on his lower abdomen and the rash progressed over the next few days to the chest and back. The lesions on his trunk are pink oval papules and plaques with fine scales. He reports that he is usually healthy although he did have a cold several weeks ago. What is the most likely diagnosis?
Read DetailsA 40-year-old female patient presents to the clinic with com…
A 40-year-old female patient presents to the clinic with complaints of intermittent burning and gnawing upper abdominal pain worse over the last 2 weeks. She reports frequent belching throughout the day that is causing her to feel distressed. The pain improves when she eats and tends to be worse at night. The physical exam is normal except for mild to moderate epigastric pain upon palpation. Which of the following diagnostic tests would be appropriate to start the workup based on the presenting symptoms?
Read DetailsAn adult female patient presents to the clinic complaining o…
An adult female patient presents to the clinic complaining of epigastric gnawing, tenderness, and heart burn. She sometimes reports a loss of appetite. Her medication list includes lisinopril 20 mg PO daily for hypertension, Celebrex 200 mg PO BID as needed for dysmenorrhea, and a Calcium/Vit D supplement daily for bone health, and a Mirena IUD placed 3 years ago. Review of systems is positive for painful periods particularly over the last three months. The NP recognizes:
Read Details