Lorazepam and follow-up with psychiatryĪ 69-year-old male with a longstanding history of hypertension and high cholesterol presents with abdominal pain and ‘bruising on his feet’.Which of the following is the most appropriate further management of this patient?

After an hour of supplemental oxygen, rest, and careful monitoring his dyspnea improves and chest pain resolves without medication. The patient’s weight is 63.5 kg (140 lb), height is 185 cm (6 ft 1 in), and he has a BMI of 18.5 kg/m 2. Temperature is 36.7☌ (98.0☏), blood pressure is 130/80 mm Hg, pulse is 82/min, and respiration rate is 14/min. He smokes half a pack of cigarettes a day and drinks alcohol socially. His paternal uncle died of an aortic dissection at age 42. He says he has anxiety and takes alprazolam as needed. He reports that the pain is worse with inspiration and does not radiate.

This event started when he was in class sitting for an exam. Which of the following additional clinical findings would you expect to be present?Ī 23-year-old man comes to the emergency department presenting with sudden-onset dyspnea and right-sided chest pain over the last hour. A computed tomography (CT) scan of his head is shown in the exhibit. The rest of the examination is within normal limits. An area of bluish discoloration is seen on his left eyelids and cheek. His height and weight are at the 67th and 54th percentile for his age. Physical examination reveals normal vital signs. There is no history of fever or head trauma. His developmental milestones were slightly delayed. His birth history and family history are not available. Past medical history is significant for mild mental retardation and complex partial seizures sometimes leading to secondary generalized seizures. The headaches are moderate-to-severe in intensity, unilateral, mostly affecting the left side, and pulsatile in nature. Students: Educators’ Pro Tips for Tough TopicsĪ 10-year-old boy is brought to a family physician by his mother with a history of recurrent headaches.Maternity Nursing and Care of the Childbearing Family.

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