Entries by Daphne Hanson

Craniotomy for Clipping of an Aneurysm

A 40 year-old man is post craniotomy for clipping of an aneurysm. His serum sodium is 115 mEq/L and he complains of nausea and vomiting. His urine sodium is 30 mEq/L and there is a decreased serum osmolality with inappropriately increased urine osmolality of 190 mOsm/kg. This presentation is consistent with:

Evaluation of a Lump on the Neck.

A 30-year-old male patient presents for evaluation of a lump on his neck. He denies pain, itch, erythema, edema, or any other symptoms. He is ^concerned because it won’t ^ go away. He says, “I noticed it a few months ago, then it seemed to disappear, and now it is  back.” The AGACNP proceeds with […]

History of Dysuria and Foulsmelling urine.

A 19-year-old woman presents to your office with a 3-day history of dysuria and foulsmelling urine. She also notes some suprapubic pressure and noted some chills and she thinks she had a fever yesterday. She reports no vaginal bleeding or discharge and reports no nausea or vomiting. She denies any significant past medical history. On […]

Impaired Vibratory and Position Sense

When examining a new patient in the hospital, the AGACNP finds impaired vibratory and position sense as well as spastic weakness. Upon questioning, he also reports paresthesia in his fingers and toes. When reviewing the laboratory data, the AGACNP finds a hemoglobin of 9. What is the most likely cause of this patient’s anemia?

Island nation challenges

If Northern Ireland were to unite with the Republic of Ireland, what challenges do you think the island nation would face?  Consider the history of the island, the religious aspects, and the economies. How would this impact the United Kingdom?