It's probably just anxiety...
Diagnosis for patient presenting with the following:
Chief complaint: "I'm feeling really anxious lately".
Labs: TSH 0.22, T4 3.7
Physical exam findings: Warm, dry skin, exopthalamous, anxious appearing, hyperkinetic, thin.
What is hyperthyroidism? (Grave's Disease)
The probable diagnosis for the following case:
Chief complaint: "I'm tired and down".
History: Pt complains of being fatigued regardless of sleep, having trouble concentrating, having low appetite but weight gain.
Exam: Thin hair, nails, +14lb weight gain since last visit, thick neck without mass.
Labs: TSH 4.4
What is hypothyroidism?
This hormonal imbalance is responsible for symptoms of depression, irritability, low energy and insomnia in men.
What is testosterone deficiency?
While enuresis is a frequent complaint of pediatrics with anxiety and depression, a deficiency in this hormone should be ruled out in providing an accurate diagnosis.
What is anti-diuretic hormone?
Diagnosis for patient presenting with the following:
Chief complaint: "I feel so restless and on edge"
Labs: Hbg: 8.2, Ferritin 8
Exam: Tachycardia, palpitations, anxiety, restlessness, spoon shaped nails, thin hair, pallor.
What is iron-deficiency anemia?
The medication likely responsible for the patient's current complaint/symptoms:
Chief complaint: I'm exhausted and down.
Medications: Lisinopril 10mg, Levothyroxine 50mcg, testosterone weekly injection, metoprolol 40mg, ceterizine 10mg
PMH: HTN, testosterone deficiency, allergic rhinitis
The medication likely responsible for the patient's current complaint:
Chief complaint: I feel down all the time and I cry over everything.
History: Patient is preparing for embryo transfer during IVF treatment.
Medications: Estrogen 2mg TID, Progesterone in oil injection 50mg daily, prednisone 5mg daily.
What is estrogen?
The NP assesses for this when presented with a child with unexplained behavioral changes, social withdrawal or worsening anxiety or depression.
What is abuse and neglect.
A neurologic disease that can cause elevated heart rate, impaired memory and concentration, changes in vision and tremors that is frequently misdiagnosed as anxiety in women in their 30s and 40s.
What is multiple sclerosis?
The lab test ordered by the NP to gain information on the following patient's symptoms?
Hx: Moved to an assisted living in Mcihigan here from Florida. Is now having loss of interest in activities, increased anxiety and depression, low energy and forgetfulness.
Cognition and insight do not appear consistent with dementia.
What is Vitamin D level?
Diagnosis for patient presenting with the following:
"I've been really low lately. I'm tired a lot and I can't really concentrate.
Labs: Random blood glucose 62, Na+ 129
Exam: Thin appearance, hyperpigmented patches of skin noted on face and upper arms. Muscle tone is generally weak.
What is Addison's Disease?
Chief complaint: "She's losing milestones and has started toe-walking. She seems less coordinated than she was before. She used to know her alphabet and colors, but she seems to be forgetting. She talks less now too".
Exam findings: Well nourished, well developed 3 year old female. Delayed reflexes, poor muscular tone. At times seems inattentive. Prominent eyebrows, frontal bossing, thick pinna and lips.
Family medical history: "1st cousin
What is Sanfillipo Syndrome?
Unexplained anxiety and sense of impending doom are common complaints of young adults with this dangerous arrhythmic disorder that causes periods of extremely high heart beat and diminished blood pressure.
What is Wolfe Parksinon White syndrome?
What are oral contraceptives?
Diagnosis for patient presenting with the following:
Chief complaint: "I am having horrible panic attacks"
Medications: Labetolol 200mg daily, Nifedipine XR 30mg daily, Lisinopril 10mg daily
History: Reports of sudden, extreme feelings of panic described as "adrenal rush" without obvious trigger. Happening 2-3 times per week, sometimes waking the patient out of sleep.
Exam findings: BP 160/90 (repeated x 3 10 minutes apart".
What is pheochromocytoma?
The medication likely at fault for this case:
"He's not sleeping and is acting really paranoid".
History: 13 year old male brought to ER by mom with increasing anxiety, paranoia and delusions that someone is "watching him through the TV".
PMH: Hx of ADHD. Moderate to severe asthma, recently started a new regimen due to worsening spring allergies.
What is montelukast? (Singulair)