Yearly Archives: 2022

A 47-year-old man presents with “extreme” pain in his right large toe. The man is overweight and has consumed 12 to 16 beers daily for at least 15 years. His medical history includes hyperlipidemia and a history of gall bladder disease but is otherwise unremarkable. Today’s vital signs include blood pressure 180/96, heart rate 89, […]

A 42-year-old woman who is an established patient comes to an appointment complaining of sudden and unexpected weight gain, fatigue, and heavy menses for the past 3 months. The woman has a history of allergies, Guillain-Barré syndrome at age 18, depression, and some difficulty getting pregnant in the past. Her maternal grandmother had a history […]

An 18-year-old woman is being seen in the clinic and reports that she suspects that she has contracted “pink eye” from the child she babysits. The patient denies a history of conjunctivitis. The patient has a history of environmental allergies but otherwise negative medical history. The patient normally wears contact lenses but is currently wearing […]

A 56 year-old man with a history of hypertension, diabetes, environmental allergies, and colon polyps presents to the office with a complaint of persistent dry hacking cough that does not improve with over-the-counter treatment with antitussives and allergy medications. The man reports that he has had the cough for 3 months and is tired of […]

A 64-year-old female patient enters the walk-in clinic reporting dizziness and fainting that has been happening off and on for the last 48 hours. The patient reports a 10-year history of hypertension, which she describes as “usually” controlled. The woman reports being recently ill with a “bad case” of influenza but otherwise well, with a […]

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, the chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient […]

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:   Atenolol 12.5 mg daily Doxazosin 8 mg daily Hydralazine 10 mg qid Sertraline 25 mg daily Simvastatin 80 mg daily ******Write a 3-page paper that addresses […]

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, the chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient […]

Distinguish between normal and abnormal physical and psychosocial changes associated with patients aged 18-64 years.   Identify syndromes and disease states commonly managed by advanced practice nurses in the adult population.   Critique existing protocols and best practices that address differential diagnosis, pharmacotherapeutic intervention, and resources to manage and evaluate acute and chronic illness in […]