Which finding belongs in the Objective section of the SOAP note?
Using the STOP test to sort data, which is Subjective?
Using the STOP test to sort data, which is Subjective?
Given S: “reading trouble up close,” O: VA near decreased; f…
Given S: “reading trouble up close,” O: VA near decreased; fundus normal; age 47.Best Assessment phrasing?
Which documentation best reflects a concerning finding requi…
Which documentation best reflects a concerning finding requiring escalation?
Which entry belongs in the Subjective section of a focused S…
Which entry belongs in the Subjective section of a focused SOAP note for “cough × 3 days”?
Which documentation best reflects an appropriate Chief Compl…
Which documentation best reflects an appropriate Chief Complaint (CC)?
Where should a PHQ-9 score (9/27) be documented?
Where should a PHQ-9 score (9/27) be documented?
A 30-year-old female presents to the primary care clinic com…
A 30-year-old female presents to the primary care clinic complaining of a 2-week history of lower extremity bruising. She also reports a 1-month history of fatigue. Her medical history is significant for polycystic ovary syndrome. She had surgery last year for a fractured clavicle following a sports injury. She takes a combined oral contraceptive pill. Her family history is significant for “blood issues,” but she is not sure of the specifics. On physical examination, bilateral conjunctivae are pale and there are multiple ecchymoses on the patient’s lower extremities. Labs are drawn, with results shown below:Hemoglobin: 7.8 g/dLWBC count: 1,000 with normal differentialPlatelet count: 12,000Reticulocytes: 0.02%A bone marrow biopsy is obtained and reveals a markedly hypocellular, fat-filled bone marrow. Which of the following is the most likely cause of the patient’s presentation?
A 54-year-old female was recently diagnosed with Hodgkin Lym…
A 54-year-old female was recently diagnosed with Hodgkin Lymphoma and is currently in the midst of the diagnostic evaluation. She comes to your outpatient clinic with a one week history of dyspnea, facial edema, and marked neck vein distention which has progressed over the past 36 hours. You suspect that the patient has developed superior vena cava (SVC) syndrome. Which of the following clinical findings commonly accompanies this diagnosis?
A 17-year-old male of Asian descent presents with a 2-day hi…
A 17-year-old male of Asian descent presents with a 2-day history of generalized yellowish skin color, epigastric pain, and fatigue. He had a fever 5 days ago, for which he took 3 tablets of acetaminophen in 1 day and was prescribed a short course of moxifloxacin. A few days after taking these medications, he developed the presenting symptoms. His vitals are blood pressure 130/80 mmHg, heart rate 82 bpm, temperature 99.6°F (37.5°C), and respiratory rate of 24 breaths/min. Physical examination demonstrates yellowish discoloration of the sclera and the skin, along with conjunctival pallor and splenomegaly. His laboratory studies show a hemoglobin level of 6.8 g/dL, a lactate dehydrogenase (LDH) level of 1100 IU/liter, and a total bilirubin level of 4.6 mg/dL. To confirm the suspected diagnosis, a methylene blue stain is used on the peripheral blood smear. What is most likely to be seen on the blood smear?