A 19-year-old college student presents with 10 days of fever…

A 19-year-old college student presents with 10 days of fever, sore throat, profound fatigue, and swollen cervical and inguinal lymph nodes. He reports that his symptoms worsened after playing in a weekend intramural soccer game. On abdominal exam, the nurse nurse practitioner palpates a tender enlargement just below the left costal margin that descends with inspiration. Given the information provided, which of the following explains the NP’s physical exam finding?

During a routine physical exam, you palpate a soft, mobile,…

During a routine physical exam, you palpate a soft, mobile, non-tender subcutaneous mass on a patient’s upper back. The mass feels doughy, is well-circumscribed, mobile, and the patient reports that it has grown very slowly over several years without causing pain. What is the most appropriate management for this finding?

A 23-year-old patient presents with a 4-day history of painf…

A 23-year-old patient presents with a 4-day history of painful genital lesions. They describe a tingling or burning sensation before the sores appeared. On exam, you observe clusters of small vesicles on an erythematous base, some of which have ruptured to form shallow, tender ulcers. The patient reports significant discomfort with urination but denies vaginal discharge or systemic symptoms. Which condition is most consistent with these findings?

A 24-year-old man presents with pain and swelling near the t…

A 24-year-old man presents with pain and swelling near the top of the buttock cleft. He reports that the area has been tender for several days and has recently begun to drain small amounts of pus. On exam, you observe a painful, fluctuant mass over the sacrococcygeal area with surrounding erythema, as well as a few small openings in the skin that contain coarse hairs. Which diagnosis is most consistent with these findings?