Download Clinical Coach for Nurse Practitioners (Davis's Clinical by Rhonda Hensley EdD APRN BC, Angela Williams APRN EdD(c) PDF

By Rhonda Hensley EdD APRN BC, Angela Williams APRN EdD(c)

From school room to perform your personal scientific trainer via your part! this is the fitting go-to consultant for making judgements in scientific settings! skilled practitioners trainer you as you research 30 of the commonest sufferer proceedings and rule out every one differential till you succeed in the right kind analysis.

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Diagnostic Testing Diagnostic procedures indicated to assist in identifying the cause of every case of abdominal pain include a complete blood count (CBC) with a differential count and urinalysis. qxd 11/24/09 12:04 PM Page 16 • For suspected obstruction, peritonitis, or bowel ischemia: An ultrasound examination or computed tomographic (CT) scan of the abdomen • For suspected ovarian torsion, pelvic abscess, or ectopic pregnancy: A transvaginal ultrasound examination Table 2–2 provides an overview of acute and chronic causes of abdominal pain in adults.

Between days 2 and 6 of the fever, the patient may present with a red, macular rash, generally beginning on the wrists and ankles. The patient may also develop a cough, facial flushing, and injected conjunctiva. Laboratory findings include thrombocytopenia, hyponatremia, increased serum levels of ALT (alanine aminotransferase), hyperbilirubinemia, and changes in the cerebrospinal fluid (CSF). Treatment consists of doxycycline or, in pregnant patients, chloramphenicol. Bacterial Endocarditis Bacterial endocarditis presents with fever, underlying valvular disease, and a heart murmur indicating valvular regurgitation.

The location, duration, character, and quality of the pain and its triggering and relieving factors are important. qxd 11/24/09 12:04 PM Page 43 disease (CAD) or pulmonary embolism may be important. The presence or absence of risk factors ALERT for CAD, such as hypertension, hypercholesAn initial terolemia, smoking, and a positive family history evaluation of chest pain is of CAD influences the probability of underlying critical to determine the CAD but does not help in diagnosing the cause of severity of the pain and the acute chest pain.

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