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A new graduate nurse practitioner has a patient presents with a hearing complaint. The patient states that they have had decreased hearing on the right side for the last month that is continuing to get worse. The NP completes both the Rinne and Weber tests. If the patient has Ménière's disea...
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- August 11, 2024
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Sarah Michelle Live ,A new graduate nurse practitioner has a patient presents with a hearing complaint. The patient states 1. AC is 2 times longer than BC 2. BC is 2 times longer than AC 3. The tuning fork lateralizes to the right ear 4. The tuning fork lateralizes to the left ear - Answer: 4. The tuning fork lateralizes to the left ear What are common signs and symptoms of Meniere's Disease? - Answer: Vertigo, tinnitus, ear pressure, What is our biggest worry for a Meniere's Disease patient? - Answer: There is a possibility for a What is rhinitis meidcamentosa? - Answer: Drug-induced rebound nasal congestion, this can happen What is herpes keratitis? - Answer: This is an infection of the cornea due to herpes simplex virus How is herpes keratitis diagnosed? - Answer: By examining the eye under a black lamp and visualized A child that has a history of mononucleosis is at increased risk for development for what cancer later in What types of patients will be at a higher risk of pneumonia? - Answer: Patient with chronic lung ,Why are cough suppressants not helpful in pneumonia patients? - Answer: Because we WANT them to When should a follow up chest X-Ray be completed after treatment of pneumonia? - Answer: Around 8 What is COPD? - Answer: Chronic Obstructive Pulmonary Disease. This is a chronic condition that is What signs and symptoms are common in COPD patients? - Answer: Chronic cough Sputum production Dyspnea- difficulty breathing What signs and symptoms are specific to B12 deficiency anemia? - Answer: Neurological symptoms, Beefy red tongue What diet can result in B12 deficiency? - Answer: Vegan- oral supplements can be used for treatment What surgery can result in B12 deficiency? - Answer: Gastric surgery- patient will lose intrinsic factor What patient population is lupus commonly seen? - Answer: Women of childbearing age- ages 15-45, What is the diagnostic criteria for Lupus? - Answer: Must have 4/11 diagnostic criteria: Malar rash Discoid rash , Photosensitivity Oral/nasal ulcers Non-erosive arthritis Cardio-pulmonary complaints Renal complaints Neurological concerns Immunological disorders + ANA test Hematologic disorders What is Sjogren's Syndrome and what is the treatment? - Answer: Dry eyes and dry mouth- treatment Common in lupus patients What is a major concern for lupus patients? How do we monitor this? - Answer: Impact on the kidneys- Be on the look out for glomerularnephritis as well as proteinuria These patients will require routine UA for assessment of their kidneys and protect them What is the function of the thyroid? - Answer: Viral hormone gland Metabolism regulation- impacts every SINGLE cell within the body Proper growth and development across the entire lifespan What produces TSH? - Answer: Pituitary gland What is the function of TSH? - Answer: Tells your thyroid when to produce and release those critical What disorders include hypothyroidism? - Answer: Iodine deficiency, Hashimoto's, or thyroiditis
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that they have had decreased hearing on the right side for the last month that is continuing to get
worse. The NP completes both the Rinne and Weber tests. If the patient has Ménière's disease, what
would be the expected finding on the Weber test?
nystagmus
potential, permanent hearing loss.
after use of nasal decongestants like Afrin. These nasal decongestants should ideally not be used for
greater than 3-5 days because of this risk.
the cornea, in herpes keratitis, fern like lines will be seen on the cornea
life? And why? - Answer: Hodgkin's Lymphoma and Burkitt's Lymphoma, this is due to the exposure of
the Epstein-Barr virus
diseases: asthma, COPD, cystic fibrosis.
get that gunk out, we do not want them to hold it in their lungs, an expectorant would be a better
option for these patients.
week mark
made up of chronic bronchitis and emphysema. It is a progressive inflammatory lung disease that makes
it hard for the patients to breathe, because the chronic bronchitis leads to mucous build up and the
emphysema portion destroys areas of the lungs.
paresthesia (numbness and tingling in hands and feet), unsteady gait, memory issues
that is required to absorb B12- these patients will require life long IM B12 injections
African Americans are going to be at higher risk
revolves around symptom management- artificial tears, hard candies, etc.
Lupus nephritis
thyroid hormones- T3 and T4.
