A 25-year-old woman comes to the emergency department with a…

A 25-year-old woman comes to the emergency department with a sudden fever of 101° F and abdominal pain. Upon examination, the APRN notices that she has rigid, board like lower abdominal musculature. When the APRN tries to perform a vaginal examination, the patient has severe pain when the uterus and cervix are moved. The APRN knows that these signs and symptoms are suggestive of:

A patient presents with ear pain.  She is an avid swimmer. …

A patient presents with ear pain.  She is an avid swimmer.  The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus.  The canal is narrowed and erythematous, with some white debris in the canal.  The rest of the examination is normal.  What Differential Diagnosis would be at the top of your list given these findings?

Your 27-year-old patient has had headaches, muscle aches, lo…

Your 27-year-old patient has had headaches, muscle aches, loss of pleasure, difficulty sleeping, and fatigue for the last 2 months.  You completed a thorough history, physical examination, and laboratory workup but did not find a cause.  What should your next action be?