Which of the following data is indicative of testicular Torsion
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absent cremasteric reflex
A 70-year-old female has fallen two weeks ago and developed immediate pain in her
left wrist. She thought she just bruised it and is worried because it has not improved.
She has tried Tylenol and ice at home, and that has helped slightly. You examine her
and find that she has a moderate swelling and Ekhymosis but is not overtly obvious
deformity her range of motion is uncomfortable and severely diminished due to the
pain. No crepitus is heartfelt. Her fingers are warm; her pulse is strong; and capillary
refill is less than two seconds what should you do
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, You should first obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
Peptic Ulcer Disease (PUD)
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Patient presents with annoying pain in epigastric region radiating to the
back, right shoulder, or side. Associated nausea, hunger; worse with empty
stomach, alcohol, NSAIDs, ASA; relieved with food and antacids. Will have
epigastric tenderness to palpation. Studies done is endoscopy and barium
swallow
Diverticulitis
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Patient will present with left lower quadrant intermittent pain. May have
associated constipation, diarrhea, fever. Physical assessment Michelle left
lower quadrant mass, mild tenderness in the left iliac fossa; laparoscopy
will diagnose; other labs are normal
Dissection or Rupture of Aortic Aneurysm
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, Patient will present with ripping, tearing, intense pain in chest, abdomen,
lower back. Will have associated hypotension, feelings of doom, shock.
Physical exam will show shock, diminished femoral pulses; get x-ray and CT
scan
Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
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Patient will present with pain in the right lower quadrant and left lower
quadrant; may have diarrhea, weight loss, rectal bleeding, tenesmus, fever;
worse with stress. Physical exam will show tenderness in the right lower
quadrant left lower quadrant; order CBC with differential small bowel
follow through (crohns) and a colonoscopy (UC)
A 72-year-old and married sexually active white man presents to your clinic with
complaints of hesitancy, urgency and occasional uncontrolled dribbling. Although the
nurse practitioner suspects BPH, what else should be the differential diagnosis
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Urethral stricture
A 60-year-old man presents with an in large scrotum the clinician used as a pen light
to transilluminate the scrotum. In a patient with a hydrocele what should the
connection expect to find
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absent cremasteric reflex
A 70-year-old female has fallen two weeks ago and developed immediate pain in her
left wrist. She thought she just bruised it and is worried because it has not improved.
She has tried Tylenol and ice at home, and that has helped slightly. You examine her
and find that she has a moderate swelling and Ekhymosis but is not overtly obvious
deformity her range of motion is uncomfortable and severely diminished due to the
pain. No crepitus is heartfelt. Her fingers are warm; her pulse is strong; and capillary
refill is less than two seconds what should you do
Give this one a try later!
, You should first obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
Peptic Ulcer Disease (PUD)
Give this one a try later!
Patient presents with annoying pain in epigastric region radiating to the
back, right shoulder, or side. Associated nausea, hunger; worse with empty
stomach, alcohol, NSAIDs, ASA; relieved with food and antacids. Will have
epigastric tenderness to palpation. Studies done is endoscopy and barium
swallow
Diverticulitis
Give this one a try later!
Patient will present with left lower quadrant intermittent pain. May have
associated constipation, diarrhea, fever. Physical assessment Michelle left
lower quadrant mass, mild tenderness in the left iliac fossa; laparoscopy
will diagnose; other labs are normal
Dissection or Rupture of Aortic Aneurysm
Give this one a try later!
, Patient will present with ripping, tearing, intense pain in chest, abdomen,
lower back. Will have associated hypotension, feelings of doom, shock.
Physical exam will show shock, diminished femoral pulses; get x-ray and CT
scan
Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
Give this one a try later!
Patient will present with pain in the right lower quadrant and left lower
quadrant; may have diarrhea, weight loss, rectal bleeding, tenesmus, fever;
worse with stress. Physical exam will show tenderness in the right lower
quadrant left lower quadrant; order CBC with differential small bowel
follow through (crohns) and a colonoscopy (UC)
A 72-year-old and married sexually active white man presents to your clinic with
complaints of hesitancy, urgency and occasional uncontrolled dribbling. Although the
nurse practitioner suspects BPH, what else should be the differential diagnosis
Give this one a try later!
Urethral stricture
A 60-year-old man presents with an in large scrotum the clinician used as a pen light
to transilluminate the scrotum. In a patient with a hydrocele what should the
connection expect to find
Give this one a try later!
