During a routine physical exam of a 90-year-old woman, a low…
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the midclavicular line. Which of the following identifications is correct?
Read DetailsAn adult patient presents to the family nurse practitioner f…
An adult patient presents to the family nurse practitioner for evaluation of a “red,” right eye for 24 hours. The patient states that when he awoke, the eye was matted shut. The patient denies trauma to the eye, eye pain, and any changes in vision. During the exam, it is noted that the pupils are equal and reactive, there is mild conjunctival hyperemia bilaterally, and a significant amount of yellowish discharge. The family nurse practitioner treats this patient with:
Read DetailsA 56-year-old mechanic is brought to your office complaining…
A 56-year-old mechanic is brought to your office complaining of heavy pressure in the substernal area of his chest that is radiating to his jaw. The pain began while he was lifting up a tire. He now appears pale and is diaphoretic. His blood pressure is 100/60 mmHg, and his pulse is 50 beats/min. What is the most appropriate action?
Read DetailsYou are conducting a physical exam on a patient with severe…
You are conducting a physical exam on a patient with severe chest pain that occurred while he was home watching television. He also complains of sudden sweating in a room temperature environment, weakness, difficulty breathing and nausea. He comments that he had an uneasy feeling of impending doom during the event. When he experiences somewhat similar angina pain, he take nitroglycerin, but this time, the nitroglycerin did not help with the pain. Based on the likely diagnosis, which of the following would you LEAST expect to find?
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