Blog

A 7-year-old child develops fever, unilateral neck stiffness, ear pain, and difficulty chewing; exam shows tenderness over the mandibular angle; the NP bases the plan of care on the knowledge that…

A 59-year-old man presents with episodic flank pain, nausea, and microscopic hematuria; urinalysis shows abundant calcium oxalate crystals; the NP bases the plan of care on the knowledge that…

A 9-year-old child presents with sudden leg pain, limp, and irritability following a viral illness; ESR is mildly elevated (normal

A 58-year-old man develops nausea, flank discomfort, and mild fatigue; creatinine is 1.2 mg/dL (normal 0.7–1.3), GFR is 88 mL/min (normal >90), and urinalysis is normal; the NP bases the plan of care on the knowledge that…

A 33-year-old woman presents with sudden right-sided weakness, facial asymmetry, slurred speech, and difficulty following commands; symptoms began 45 minutes ago; the NP bases the plan of care on the knowledge that…

A 13-year-old girl develops sudden blurred vision, eye pain, and photosensitivity after spending all day outside without sunglasses; exam shows mild corneal irritation; the NP bases the plan of care on the knowledge that…

A 34-year-old woman presents with heat intolerance, anxiety, difficulty sleeping, and new hand tremors; TSH is 0.01 mIU/L (normal 0.4–4.0) and free T4 is 3.0 ng/dL (normal 0.8–1.8); the NP bases the plan of care on the knowledge that…

A 71-year-old White man undergoing screening colonoscopy is found to have multiple small left-sided diverticula but denies pain, fever, bowel changes, or bleeding; the NP bases the plan of care on the knowledge that…

A 44-year-old woman presents with daily fatigue, widespread musculoskeletal pain, sleep disturbance, and difficulty concentrating; CBC, ESR, CRP, and TSH are normal; the NP bases the plan of care on the knowledge that…

A 64-year-old woman presents with acute unilateral vision loss, ocular pain, halos around lights, and nausea; intraocular pressure is 44 mmHg (normal 10–21); the NP bases the plan of care on the knowledge that…