Entries by Munene david

 Mr. Starwood is a 61 year old male who was admitted last night for the management

1)     Mr. Starwood is a 61 year old male who was admitted last night for the management of acute pancreatitis. He was admitted N.P.O. and started on IV fluids and opiate pain management. This morning he reports significantly better. His C-reactive protein this am is 5 mg/dL, amylase and lipase are both just over 2 x […]

 

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A patient with peptic ulcer disease is admitted to the hospital with significant upper abdominal

1)     A patient with peptic ulcer disease is admitted to the hospital with significant upper abdominal discomfort. She has guarding and rebound tenderness on examination. Abdominal radiography demonstrates free air in the abdomen. The AGACNP knows that the immediate priority is to A)    Obtain a stat surgical consult B)     Begin an IV proton pump inhibitor C)     Order and abdominal […]

 

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A 36 year old female presents for evaluation of wheeze while exercising.

)     A 36 year old female presents for evaluation of wheeze while exercising. She has no significant medical history and has always been very healthy. During review of systems she does admit to a general decrease in energy. Lately, but nothing specific. Her cardiopulmonary exam is within normal limits and lungs are clear. Vital signs are: […]

 

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 Mrs.Woodson is a 71 year old female with a long history of hypertensive heart disease.

)     Mrs.Woodson is a 71 year old female with a long history of hypertensive heart disease. She has been admitted for an evaluation of increasing fatigue and activity intolerance. She had a near syncopal episode today while walking stairs. Her vital signs reveal a blood pressure of 138/90 mmHg, Pulse of 100 bpm and bounding, respirations […]

 

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