NR 508 Believe Possibilities--snaptutorial.com

1
NR 508 Believe Possibilities--snaptutorial.com
2
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 1 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One    Emily, a relatively healthy 55,
32-year-old young woman weighing 190 pounds,
presents to your clinic with hirsutism,
anovulation, oligomenorrhea, and at times
amenorrhea. Biochemical blood tests reveal
elevated luteinizing hormone (LH, without a
mid-cycle surge) and androgen elevation.  
3
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 2 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One    Cynthia is a 65-year-old African American
female who presents to the clinic for a check-up.
Her last examination was 5 years ago. She has no
specific, significant, or urgent complaint. She
explains that her only issues are thirst,
fatigue, and leg numbness and tingling, which is
beginning to occur more often. You decide to do a
physical exam, as well as draw labs and receive
the following results
4
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 3 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One    Elliot is a 74 year-old male who presents
to your clinic with complaints of frequent
nosebleeds (4 in the past week) and several
severe bruises scattered variously throughout his
anatomy. The patient is also complaining of a
runny nose, cough, and head/chest congestion. He
has a history of chronic atrial fibrillation and
is currently prescribed and taking warfarin.
Approximately 3 weeks previously, he started
taking over-the-counter cimetidine for heartburn
he was experiencing.  Below is a list of the
patients medications, his physical examination,
and his laboratory findings
5
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 4 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One    Barbara is a married 39-year-old woman
with no children, smokes 1 pack/day, and weighs
180 pounds who has scheduled an appointment with
you to discuss feelings of anhedonia that she has
been experiencing for the past few months. She
has a history of depression as a teenager, but
has not needed or received therapy for 20 years.
At the appointment, she relays that she has been
experiencing chronic fatigue/loss of energy,
feelings of worthlessness, appetite disturbances,
weight gain, inability to concentrate,
psychomotor disturbances, and insomnia.
6
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 5 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One  Leroy is a 70 year-old-man, whose wife
passed away 5 years ago, and whose 2 children
live out-ofstate. His neighbor caretaker (Ms.
Webb, a middle-aged retired CNA, whom his
children hired to provide home care to him
3x/week) brings him to your clinic. He presents
with quite severe confusion, incidentally to very
minor changes in his environment, which provokes
some violence (a symptom which startles Ms.
Webb), increasingly impaired judgment, and
increasing repetitiousness and inconsistencies in
his usual behavior. Upon initial work-up and
physical exam, you notice an increased
respiratory rate, a slight fever (100F), and
cost vertebral angle tenderness on his right side.
7
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 6 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One    Jonathon is a 56 year-old retired
automobile mechanic who has not been to the
doctor in approximately 6-7 years. He presents to
your office complaining that 3 weeks ago he was
awoken with severe pain and inflammation in his
knee, which has been consistent since that
initial night. Upon physical examination of his
knee, it appears swollen and erythematous with
periarticular involvement. Upon physical
examination and laboratory results you notice the
following
8
NR 508 Believe Possibilities--snaptutorial.com
NR 508 Week 7 Discussions For more classes
visit www.snaptutorial.com   Discussion Part
One    Adam is an active, healthy 510 34
year-old man weighing 145 pounds. He presents to
your clinic with complaints of wheezing, dyspnea,
cough, and sputum production, especially when
running. He informs you that he is an avid
marathon runner competing in one to two 5 or 10K
runs per month. He tells you that he is
symptomatic more than 2 times per week, but less
that 1 times per day, and nighttime symptoms
hardly ever occur. He also adds that his symptoms
can get worse after and sometimes during his
runs, especially when the outside temperature
drops below 50F.
9
NR 508 Believe Possibilities--snaptutorial.com