The Digital Document Hub

34-year-old female presents with acute, sharp pelvic pain x 6 hours. States that nothing makes the pain better or worse. GYN History: G3P3. Prior Surgical History Appendectomy age 15. was 8 weeks ago. BP is 90/60 Pulse 110. Temp 98.6. Positive bowel sounds 4. Pelvic exam reveals negative vaginal discharge, negative cervical motion tenderness. Positive right adnexal tenderness noted upon palpation Urinalysis is negative, UCG test pending. Which of the following adnexal disorders could be ca...

. A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past. The nurse would: - Refer the patient because of the suspicion of melanoma on the basis of her symptoms. . Assessing a 7-month-old infant you make a loud noise and note the following response: Abduction and flexion of arms and legs; fannin...

Assessing DTRs - Compare both sides, use a grading scale (0-4+). Assessing vertigo - Perform the Dix-Hallpike maneuver, Romberg test, vestibular testing, and audiometry. Assessment of meningitis - Kernig's sign, Brudzinski's sign, lumbar puncture. Assessment of pathologic reflexes - Perform the Babinski test or Hoffmann test. Ataxia - Lack of coordination (finger-to-nose test). Audiometry - A he

ABI - ratio of BP in lower legs vs the arms -used to diagnose PAD -detects stenosis of >50% in major vessels of legs absent/attenuated sounds - NO airflow to the region being auscultated -can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal consolidation Acute MI -inferior MI - II, III, and

Action for a Hispanic woman at 26 weeks of pregnancy who has been eating ice - Check the patient for anemia Action for a Hispanic woman at 26 weeks of pregnancy who has been eating ice - Check the patient for anemia Action for a Hispanic woman at 26 weeks of pregnancy who has been eating ice - Check the patient for anemia Advice for a patient taking an oral glucocorticoid - Take it with food Advice for a patient taking an oral glucocorticoid - Take it with food Advice for a patient takin...

A 30 year old male presents with generalized abdominal pain. With flex ion of the legs at the hip an increase in his abdominal pain is noted. This finding elicited a positive - Psoas sign A 30 year old patient complains of frequent belching, pain in the area below the sternum mostly after eating, and increased salivation. These symptoms are often seen in patients who have: - Gastroespohageal reflux A 35 year old male visits the nurse practitioner for complaints of a fullness in his lower abd...

a 17 year old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these are signs of - hormonal imbalances A 22-year-old architecture major comes to your office, complaining of severe burning with urination, a fever of 101 degrees, and aching all over. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her ...

A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis? - hordeolum a 15 year old high school sophomore comes to the clinic for evaluation ...

Abnormal finding on eye exam - Squinting, leaning forward, hesitancy, or misreading letters on a snellen chart. Anterior approach - examining thyroid - Stand in front of and facing the patient. Ask the patient to tilt his or her head slightly forward and to the right, as noted above. Use your right thumb to shift the trachea over to the patient's right side. Use your left thumb and fingers to grasp and the sternomastoid muscle. Ask the patient to swallow as you feel for any thyroid chang...

Adsorption - occurs when one agent binds the other to its surface to form a complex Absorption - process that occurs from the time a drug enters the body to the time it enters the bloodstream to be circulated Bioavailability - Is the portion of a dose that reaches the systemic circulation and is available to act on body cells Distribution - Involves the transport of drug molecules within the body An important factor in distribution is: - Protein binding What two ways allows drugs to enter