QUESTION A 48-year-old woman presents with a five-month history of generalized joint pain, stiffness, and swelling, especially in her hands. She states that these symptoms have made it difficult to grasp objects and has made caring for her grandchildren problematic. She admits to increased fatigue, but she thought it was due to her stressful job. FH: Grandmothers had “crippling” arthritis. PE: remarkable for bilateral ulnar deviation of her hands as well as soft, boggy proximal interphalangeal joints. The metatarsals of both of her feet also exhibited swelling and […]

QUESTION A 78-year-old female was out walking her small dog when her dog suddenly tried to chase a  rabbit and made her fall. She attempted to try and break her fall by putting her hand out and she landed on her outstretched hand. She immediately felt severe pain in her right wrist and noticed her wrist looked deformed. Her neighbor saw the fall and brought the woman to the local ER for evaluation. […]

QUESTION A 68-year-old obese male presents to the clinic with a 3-day history of fever with chills, and Lt. great toe pain that has gotten progressively worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. HPI: hypertension […]

QUESTION A 68-year-old obese male presents to the clinic with a 3-day history of fever with chills, and Lt. great toe pain that has gotten progressively worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. HPI: hypertension […]

QUESTION Case Study J.R. is a 13-year-old boy diagnosed with cystic fibrosis (CF) who is being seen in the outpatient clinic for biannual evaluation. He lives in the house with his parents and has a sister C.R. 7-year-old who also has cystic fibrosis. J.R. reports that he has not felt well, that he has no energy, is coughing more and has difficulty breathing. He explains […]

QUESTION Maria is a 29-year-old woman with a seven-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. […]

QUESTION Admitting Dx:  Abd pain, cholecystitis Past History:  High cholesterol, HTN, obesity, gastric bypass IV Saline Lock, IVPB Antibiotics Lap cholecystectomy yesterday Bowel sounds hypoactive X4 – 1 soft BM yesterday AM VS stable Morphine 2mg IVP q6H PRN pain, recent dose at 0600 Lives with sister, still sings at a retirement pub occasionally, no medical insurance Choose a patient from this week’s scenario to […]

QUESTION You are the nurse manager of a small, four-bed emergency department. Your department received seven patients involved in a mass casualty shooting at a local grocery store two days ago. A brief overview of each client is provided below.   Brief Client Overviews Pregnant female: 32-years-old, 36 weeks gestation. Presentation to the ED: alert and oriented x 3, respiratory rate at 25 breaths/minute, radial […]

QUESTION Case Study Analysis Scenario: 42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam […]

QUESTION 2022SP – Jane Toppan Criminal Minds Project- Section RMV05 You are assigned a criminal mind project This assignment is about focusing on an infamous person (JANE TOPPAN) with a mental disorder. You need to identify and present significance in the following areas: childhood, late adolescent/ early twenties, family influence, diagnosis/treatment (including meds if prescribed), substance abuse/alcohol, the infamous act/traumatic event, incarceration, death, where they […]