A patient with newly diagnosed COPD is seen by nurse practit…

A patient with newly diagnosed COPD is seen by nurse practitioner for management. The patient has been on a SABA, but the symptoms are not controlled and the nurse practitioner decides that the patient has moved into group B or stage 2. According to the GOLD guidelines. What would be an appropriate treatment for this stage? 

A 56 year-old female with a history of allergic rhinitis pre…

A 56 year-old female with a history of allergic rhinitis presents to the NP’s clinic with a stuffy nose. She has been using the nasal decongestant Afrin for the last month, and now she is unable to stop taking it without having significant difficulty breathing through the nose. What is her probable diagnosis? 

A 26 year old female patient presents to your clinic with ch…

A 26 year old female patient presents to your clinic with chief complaint of abdominal pain.  She complains of nausea and vomiting, fever and anorexia.  She states her abdominal pain started approximately 2 hours ago.  Upon physical exam the patient complains of pain upon performing palpation at McBurney’s point.  Of the following, what is the differential diagnosis requiring highest priority to rule out?