Showing posts relating to: The Rounds: Clinical Considerations

Case Study of the Week: Radial Head Subluxation

I love a medical problem with an immediate fix.  The patient leaves happy, I feel the satisfaction of having made someone's day just a bit better.  It is much nicer to push, pull, feel a clunk and cure the issue at hand rather than inform your patient that unfortunately they are suffering from a viral infection and should plan on a few days of feeling under the weather.  That is why I love a good case of Radial Head Subluxation (Nursemaid's Elbow). 

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Case Study of the Week: Mastoiditis

I can tell that cough, cold and sniffle season is in full force by just a quick glance at the waiting room in my workplace.  During this season it is tempting to move quickly from patient to patient trying to keep wait times low and patients happy.  But, next time you diagnose otitis media, don't miss mastoiditis, a potentially serious complication.

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Case Study of the Week: Acute Angle-Closure Glaucoma

Nothing scares me more than treating eye-related complaints.  Yes, usually the patient is dealing with a simple conjunctivitis or corneal abrasion but I am always concerned about complications.  I am less familiar with opthalmology than other areas of medicine and could use a refresher on opthalmologic conditions.  You may not know that January is Glaucoma Awareness Month.  So, in an effort to raise knowledge and awareness I have selected Acute Angle-Closure Glaucoma (AACG) as this week's case study.

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Case Study of the Week: Diverticulitis

Working in the ER, I treat a lot of abdominal pain.  It seems our population lives in fear of contracting an appendicitis and seeks emergency treatment for every twitch and pang in their tummy.  Given the large number of abdominal pain related complaints I encounter on a daily basis, I have become rather adept at sorting the serious from the benign and diagnosing them appropriately.  Among my favorite diagnoses is diverticulitis. 

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Case Study of the Week: Black Hairy Tongue

This might just be the most disgusting thing I have ever seen!  I learned about Black Hairy Tongue (Lingua Villosa) while on my CME conference a few weeks ago and decided to delve into the topic a bit further as this week's case study.  Although I have never seen or treated a severe case of black tongue thus far in my career, I will now be prepared when a patient presents with these appalling oral changes.

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Case Study of the Week: Sialolithiasis

Patients presenting with significant facial swelling strike fear in me as a medical provider.  With so many essential and complex structures and in considering proximity to the brain, dealing with facial swelling is certainly concerning and necessitates an accurate diagnosis.  Thankfully, at my continuing medical education conference last week we discussed ENT emergencies including one of my favorite diagnoses, sialolithiasis, more commonly known as the salivary stone. 

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Case Study of the Week: Inflammatory Breast Cancer

In keeping with this month's theme, breast cancer awareness, I have chosen inflammatory breast cancer as this week's case study.  A rare but serious form of breast cancer, it is crucial that nurse practitioners not misdiagnose this life-threatening disease. 

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Case Study of the Week: Plantar Fascitis

I have been gimping around lately- my left foot really hurts!  An avid runner, I am currently suffering from a self-diagnosed case of planter fascitis.  Not fun.  To further explore the causes, symptoms and treatment of this condition I have selected plantar fascitis for this week's case study.

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Case Study of the Week: DVT

This weekend, my husband and took a road trip to Indianapolis giving me plenty of time behind the wheel to contemplate various road-trip related medical conditions for this week's case study.  I ultimately decided on the DVT (deep vascular thrombosis).  DVT is a diagnosis I make, or at

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Case Study of the Week: Actinic Keratosis

Skin cancers are the most common form of cancer in the United States.  One in five Americans will be diagnosed with skin cancer during the course of their lifetime.

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Case Study of the Week: Psoriasis

For those of you who are not aware, August is Psoriasis Awareness month.  Psoriasis affects not only an individual's appearance but also their overall health and emotional well-being.  1-2% of the U.S.

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How to Drain an Abscess

In lieu of the traditional case study of the week, this week I will highligh

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