Question 1: Describe the diagnostic criteria of osteoarthritis versus rheumatoid arthritis Osteoarthritis (OA) and rheumatoid arthritis (RA) are distinct forms of arthritis, each possessing unique diagnostic criteria. Osteoarthritis, a degenerative joint disease, primarily affects cartilage, the protective tissue cushioning the ends of bones. Its diagnosis often involves a combination of physical examination findings, imaging studies, […]

Addressing a Teenager’s First Gynecological Exam and Birth Control Consultation A first gynecological exam, coupled with a discussion about birth control, can be a daunting experience for a young woman, especially when parental involvement adds to the emotional complexity. Navigating this situation requires sensitivity, clear communication, and a focus on empowering the patient to make […]

Family History: (10 points) S.S. is a 13-year-old cisgender male who lives with both parents in Watchung, NJ. He is an only child, conceived through IVF using a donor egg. His mother experienced multiple miscarriages before his birth. Both parents work in IT from home, with the father occasionally traveling. They report a happy 25-year […]

Elder Abuse Screening and Management in Emergency Departments Mr. W.’s case presents a complex scenario of suspected elder abuse, requiring a careful and systematic approach to assessment and intervention. The emergency department (ED) serves as a critical point of contact for identifying and addressing elder mistreatment. Recent research highlights the importance of structured screening and […]

Gastrointestinal Function: Constipation and Its Complications Constipation is a common gastrointestinal disorder characterized by infrequent bowel movements, hard stools, and difficulty passing stools. According to the Rome IV criteria, constipation is defined as having fewer than three bowel movements per week, straining during defecation, and having hard or lumpy stools (Lacy et al., 2016). Risk […]

Clinical Judgement Plan         Lab Tests with Values (Include normal ranges, dates, and rationales of abnormal results) Lab Tests or Diagnostic Tests Normal Ranges Admission Lab Values Current Lab Values Explain Abnormal Results R/T Your Patient (USE additional pages at the end of template WHEN NEEDED)   Physical Assessment/Review of Systems   […]

Room: 412 Patient: John Doe, 68-year-old male Attending: Dr. Sarah Johnson, Pulmonology Consults: Dr. Michael Chen, Cardiology Allergies: Penicillin Admit date: September 5, 2024 Isolation: None Code status: Full code Primary diagnosis: Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD) CC/HPI: Mr. Doe presented to the emergency department with worsening shortness of breath, increased cough […]