An adult patient presents with an acute injury to the left 4th toe after stubbing the toe. On physical exam there is localized swelling, ecchymosis and tenderness to palpation to the left 4th toe. Patient’s vascular and neurological exam of the foot/lower extremity is within normal limits. X Ray of the left 4th toe reveals a non-displaced fracture. What will be a component of your treatment plan?

A pediatric patient’s chest xray comes back definitively positive for foreign body in the lower airway on the AP view. The patient is stable, without signs of respiratory distress. What is the next best course of action?

What diagnostic test will you order STAT in your outpatient office to help confirm your differential diagnosis?

Which of the following symptoms would be a sign of early appendicitis in both pediatric and adult patients?

What is your recommended maintenance treatment for this patient?

How many times per week do daytime symptoms occur for patients with intermittent asthma?

A 2-month-old well appearing infant is being evaluated and you suspect Gastroesophageal Reflux Disease (GERD). What is the most appropriate initial intervention for this patient?

 A 10-month old child has a 1-2 day history of severe abdominal pain that mother describes as intermittent and cramping. Mother states the child has also had non-bilious vomiting and has observed the child scream and draw up legs during pain episodes. Between the episodes, patient appears lethargic. The nurse practitioner notes a small amount of blood, mucus stool in the diaper which looks like currant jelly. What is the most likely diagnosis?

 A patient is seen in the clinic and based on history and physical exam findings you suspect acute cholelithiasis. You would expect which of the following laboratory findings?

What is your treatment plan for this patient?