A 35 year old patient presents with a skin rash, pain and sw…

A 35 year old patient presents with a skin rash, pain and swelling in the bilateral knees, hips, wrists and ankles.  The rheumatoid factor, uric acid  and ANA labs were normal.  Tests for lyme disease were negative. What subjective and objective data should the nurse practitioner be sure to include in the workup for this patient as they continue to explore a possible less common cause for the patient’s symptoms. 

The nurse practitioner examines a patient presenting with ba…

The nurse practitioner examines a patient presenting with back pain.   After observing and palpating the back the provider checks the range of motion. Lastly, the provider asks the patient to lay supine on the exam table.  The provider places one hand above the knee, cups the heel with the other hand and slowly raises the straight leg.  The patient states she feels pain below her knee when the leg is at 60 degrees and the pain worsens with dorsiflexion the ankle.  This finding should suggest:

Amy comes to your office complaining of back pain that start…

Amy comes to your office complaining of back pain that started one week ago.  She has no other symptoms (no fever, no numbness, etc.) and no known causative factors.  She was moving furniture yesterday and she thinks this might be the cause.  Which of the following is true about ordering imaging for back pain?  

A 45 year old patient presents with elbow pain.  The history…

A 45 year old patient presents with elbow pain.  The history of present illness reveals that the pain came on gradually over the past 6 weeks.  He has no trouble moving the elbow but the pain is aggravating.  Examination reveals no erythema, edema or warmth of the joint but there is some point tenderness over the lateral epicondyle and symptoms intensify with supination against resistance with the elbow flexed at 90 degrees.  The advanced practice provider should suspect which disorder of the elbow?