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Radial head fracture
The most likely working diagnosis for a 14 year
old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a
positive fat pad sign on X-ray.
Successful treatment indication for radial head subluxation
The child quickly begins to use the affected arm
after closed manipulation.
Measles
A 10-month old with a rash, runny nose, cough,
and a cluster of tiny white papules with an
erythematous base on the buccal mucosa
suggests this diagnosis.
Object permanence
Indicated by a 12-month-old child looking for a
toy that the father has hidden under the table.
Right lower lobe crackles
Expected examination result for a 14-year-old
male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum.
Microscopic exam of urine
The diagnostic test that should be performed
immediately for a 15-year-old female with
burning urination after treatment for trichomonas
vaginitis.
Testicular self-examination
Essential education for a 15-year-old male with a
history of cryptorchidism which was surgically
repaired.
Measure the blood sugar
The first action a school nurse should take when
a child with type I diabetes mellitus reports
sweating and weakness after insulin injection.
Providing reassurance
The appropriate response for a 16-year-old
female experiencing midcycle spotting while on
Ortho-Novum 7/7/7.
FSH, LH, TSH
The most appropriate diagnostic tests to order
for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to
testosterone.
Primary amenorrhea
The most likely diagnosis for a 17-year-old
female who has never had her menses and is at
Tanner stage III of sexual development.
Cancer of the testicles
Condition suspected for a 20-year-old male with
a 1-month history of a bump on his testicle and a
history of unprotected intercourse.
Gonococcal conjunctivitis
Suspected condition for a 21-year-old college
student presenting with copious, markedly
purulent discharge from her left eye.
Appendicitis
Most likely diagnosis for a 21-year-old patient
presenting with abdominal guarding, rigid
abdominal musculature, rebound tenderness at
McBurney's point, and leukocytosis.
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Is this student an athlete?
A question to consider when analyzing a 22-
year-old college student's heart rate of 48/minute
and regular during a routine physical
examination.
Double today's dose and tomorrow's dose and use a barrier method for the rest of the month
Advice for a 24-year-old female taking oral
contraceptives who has missed her last 2 pills to
minimize her risk of pregnancy.
Contraceptive technique to prevent pregnancy. Barrier method
Diabetes mellitus
Common cause of recurrent candidal infections.
Non-tender breast mass with nipple discharge. Intraductal papilloma
Chlamydia infection
Often asymptomatic in males; no remarkable
symptoms.
Skin rash caused by irritants or allergens. Contact dermatitis
Test to identify pathogens in respiratory Sputum culture
secretions.
Autoimmune condition causing joint inflammation Rheumatoid arthritis
and stiffness.
Acute bacterial prostatitis
Infection causing pelvic pain and urinary
symptoms.
Sonogram
Ultrasound imaging to assess internal structures.
Gynecological consultation
Referral for specialized evaluation of
reproductive issues.
Emergency condition causing acute testicular Testicular torsion
pain.
Blood pressure changes in pregnancy
Typically decreases, causing light-headedness
when standing.
Class of antibiotics effective against bacterial Macrolide antibiotic
infections.
Agency to report suspected child abuse or Child protective services
neglect.
Movement of a joint without patient effort. Passive range of motion (ROM)
Benign tumors causing heavy menstrual Uterine leiomyomas
bleeding.
Fluid released from the nipple, may indicate Nipple discharge
pathology.
Inflammation of bronchial tubes, often due to Acute bronchitis
infection.
Indicates possible bacterial infection in Foul-smelling sputum
respiratory tract.
Cervical cancer screening
Routine examination to detect precancerous
changes.
Morning stiffness
Common symptom in inflammatory joint
diseases.
Red, flat rash often indicating skin irritation. Erythematous macular rash
Voided urine specimens
Urine samples collected during normal urination.
Reflex causing testicle elevation when thigh is Cremasteric reflex
stroked.
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