Entries by Munene david

S. is a 59-year-old female who has been followed for several years for aortic regurgitation.

April 7, 2020 in /by

Question 1 S. is a 59-year-old female who has been followed for several years for aortic regurgitation. Serial echocardiography has demonstrated normal ventricular function, but the patient was lost to follow-up for the last 16 months and now presents complaining of activity intolerance and weight gain. Physical examination reveals a grade IV/VI diastolic aortic murmur […]

 

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An ascending thoracic aneurysm of > 5.5 cm is universally considered an indication for surgical repair,

April 7, 2020 in /by

Question 2 An ascending thoracic aneurysm of > 5.5 cm is universally considered an indication for surgical repair, given the poor outcomes with sudden rupture. Regardless of the aneurysm’s size, all of the following are additional indications for immediate operation except: A. Comorbid Marfan’s syndrome       B. Enlargement of > 1 cm since diagnosis                                     C. Crushing chest pain        D. […]

 

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Jasmine is a 31-year-old female who presents with neck pain.

April 7, 2020 in /by

Question 3 Jasmine is a 31-year-old female who presents with neck pain. She has a long history of injection drug use and admits to injecting opiates into her neck. Physical examination reveals diffuse tracking and scarring. Today Jasmine has a distinct inability to turn her neck without pain, throat pain, and a temperature of 102.1°F. […]

 

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Mr. Draper is a 39-year-old male recovering from an extended abdominal procedure.

April 7, 2020 in /by

Question 4 Mr. Draper is a 39-year-old male recovering from an extended abdominal procedure. As a result of a serious motor vehicle accident, he has had repair of a small bowel perforation, splenectomy, and repair of a hepatic laceration. He will be on total parenteral nutrition postoperatively. The AGACNP recognizes that the most common complications […]

 

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