24-year-old man is transported to the ED in stable condition after an MVA. His left leg was trapped under the car for several hours before he was freed. Upon examination of his left lower leg there is ecchymosis with swelling, tenderness, severe pain, Paris D Zia and pallor. The x-ray of his left leg is […]
A 52-year-old female is admitted to the hospital with a three day history of nausea and vomiting. She has a past medical history of hypertension, hyperlipidemia, and obesity currently three months status post Roux-en-Y bypass surgery. Upon initial evaluation of the patient the nurse practitioner learns that the patient is experiencing numbness of her hands […]
A 31-year-old female presents with complaints of severe right knee pain and swelling that began suddenly three hours ago. Vital signs are blood pressure 128/88 heart rate 110 respirations 18 and temperature 38.6 Celsius. Vesiculopustular lesions are present on distal extremities. Past medical history is significant for IV drug use and 15 year history of […]
A 41-year-old male client has a five year history of hypertension. He is admitted to the hospital with complaints of exertional dyspnea requiring three pillows for sleep and episodes of breathlessness that nightly wakes him up. His blood pressure on admission was 180/106 pulse rate 104, respiratory rate 30. He has JVD to the angle […]
A 49-year-old male sustains a stab wound to the left upper quadrant of his abdomen. He complains of minimal pain and is alert orientated times three and hemodynamically stable. The results of his abdominal examination show no abnormalities. Which of the following statements is true? A. The focused assessment with bedside ultrasound for trauma evaluation […]