Acute Sinusitis: Guidelines Knowledge Check

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Medicine, Urgent Care

acute sinusitis guidelines check

Sinusitis and rhinosinusitis refer to inflammation in the nasal cavity and paranasal sinuses. Acute rhinosinusitis (ARS) lasts less than four weeks. The most common etiology of ARS is a viral infection associated with the common cold. Distinguishing acute viral rhinosinusitis related to colds and influenza-like illnesses from bacterial infection is a frequent challenge to the primary care clinician. Acute rhinosinusitis … Read More

AANP vs ANCC – Understanding the Two Types of FNP Board Certification

Med-ChallengerMedical News, Nurse Practitioner, Personal Education

FNP certification - aanp vs ancc - what's the difference and how to become certified

Here are the differences between the two FNP Certification exams: American Academy of Nurse Practitioners (AANP) is a board examination. Upon passing, the credentials awarded are FNP-C (C-denotes certified) 2,3 American Nurses Credentialing Center (ANCC) is a board examination. Upon passing, the credentials awarded are FNP-BC (-BC denotes board certified) The sports adage “practice like you play because you will play like you practice” is … Read More

Bedside Diagnostic Challenge – A 53-year-old woman with acute onset of pain and swelling of the left leg.

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

bedside diagnosis ruptured baker's cyst case

Test your bedside diagnostic skills with this free clinical case question. A 53-year-old woman with a 6-month history of morning stiffness involving her wrist, fingers, and knees presents with the acute onset of pain and swelling of the left leg, more pronounced on walking. She states that she has had a large, soft lump in the back of the left … Read More

Pediatric Hematology Diseases Board Review Questions | CME Quick Quiz

Gerard Kiernan, MD, FAAFP, FHMEmergency Medicine, Family Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Question of the Week, Urgent Care

pediatric hematology diseases quiz

A 7-year-old boy presents to you for evaluation of abdominal pain and rash that have been present for the past 2 days (see Figure 1). Figure 1. His past medical history is significant only for an upper respiratory infection the previous week. On physical examination, his vital signs are stable, but his abdomen is moderately tender, and his stool is … Read More

Geriatric Syndromes Board Review Questions | CME Quick Quiz

Scott Akin, MD, FAAFPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

Geriatric syndromes CME quiz

A 75-year-old man with well-controlled diabetes mellitus developed a laceration on his right lower extremity (see Figure). It happened 3 weeks ago. He tells you that he first noticed it after he got out of his car. Since then, he has been using soap and water to clean the wound. He has been applying topical antibiotic ointment and covering the … Read More

Burn Treatment Critical Care Board Review Questions | CME Quick Quiz

Kathryn Butler, MD, FACSEmergency Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

burn treatment CME quiz

A 46-year-old man weighing 85 kg with no past medical history is brought in by paramedics after sustaining extensive burn injuries in a brush fire. He was clearing brush in his yard when the blaze spread out of control and his clothing caught fire. By the time his family heard his cries and helped him extinguish the flames, he had … Read More

Against Medical Advice (AMA): Clinical Pearls Blog

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Pediatric Medicine, Urgent Care

against medical advice AMA discharge

When a patient leaves against medical advice – or AMA, the patient is leaving before their treating physician recommends discharge or despite medical advice to the contrary. This definition implies the patient received and understood the medical advice given. In practice, the term “AMA” is often used regardless of whether medical advice was given or not.  Patients may lack the … Read More

CPR Length After Thrombolytics for PE: Guidelines Knowledge Check

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Nurse Practitioner

rTPA and CPR Length After Thrombolytics in PE

The 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) follows the previous ESC Guidelines focusing on the clinical management of pulmonary embolism (PE), published in 2000, 2008, and 2014, however, new data have extended or modified the knowledge in respect of the optimal diagnosis, assessment, and treatment … Read More

Bedside Diagnostic Challenge – 16-year-old girl with lack of bowel movements

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Medicine

16-year-old-with-lack-of-bowel-movements

Test your bedside diagnostic skills with this free clinical case question. A 16-year-old girl is brought to her physician because of lack of bowel movements. The patient states that for the past 3 months, she has had a bowel movement only every other week. She describes them as normal in color and consistency. She has had no abdominal pain or … Read More

Critical Care Pharmacology: Board Review Questions | CME Quick Quiz

Paul Griner, MD, MACPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

critical care pharmacology board review questions quick quiz

Critical Care Pharmacology Case: A 62-year-old man with a history of hypertension has been complaining of abdominal pain for several weeks. He tells you that the pain is moderate in intensity and does not seem to be related to eating. He also had chills, but no fevers have been documented. You order computed tomography of the abdomen, which showed the … Read More