AB is a 60-year-old female who presents to the ER with altered mental status. On physical exam she has dry mucus membranes and decreased skin turgor. The medical team conclude that she is dehydrated and will admit her for 24 hours. BP 88/62, P 120, wt 135 lbs (Baseline 140 lbs), ht 5’6”. (Must show […]

A 24-year-old woman presents to the clinic with depressed mood, lack of appetite, decreased sleep, lack of interest in pleasurable activities, and thoughts of guilt for the past two weeks. These symptoms occur every day, for most of the hours of the day, and are causing her distress. Her family history is significant for a […]

Case 2 A 46-year-old Caucasian woman presents to the clinic complaining of breast pain. The patient state the pain is intermittent, in the right breast, the pain is sharp and has a burning sensation. She rates the pain as 7/10 at it worst. The patient states the pain sometimes interferes with her sexual activity. She […]

Shanae Jackson is a 32-year old female who presents with lower abdominal pain and fever. Fevers at home range between 99.4F to a maximum of 101.7F. She describes the lower abdominal pain as a constant dull ache, nonradiating, with a pain scale ranging to 5/10 to 8/10. The pain is worse with sexual intercourse with […]

A 16-year-old patient requires wound suturing after an accident. The patient tells the nurse practitioner that their last tetanus shot was “on time.” Should the patient receive another tetanus vaccination today? • A – Yes, the patient’s last Td vaccination was probably at age 10 years. • B – Yes, because there is no documentation […]