Nr511 / Nr 511 Final Exam (Latest 2023 / 2024): Differential Diagnosis & Primary Care Practicum - Chamberlain Week 8

Discuss how the Phren sign can differentiate between testicular torsion and epididymitis {Ans: Epididymis characteristic is relief of discomfort with elevation of testis. Positive Prehn's sign = pain relief. Testicular torsion elevation of the affected testicle does NOT relieve the pain (Negative Prehn's sign = pain is NOT relieved) Epididymis Positive Prehn's sign = pain relief. Neg = no pain relief = testicular torsion).}Discuss an appropriate treatment for prophylaxis or treatment of traveler's diarrhea {Ans: -empirical antimicrobial therapy: Trimethoprim-sulfamethoxazole (Bactrim) 1 PO BID ×3d -ciprofloxacin (Cipro) 500 mg -norfloxacin (Noroxin) 400 mg -ofloxacin (Floxin) 300 mg}Identify at least three examples of flow disorders (intra and/or extra thorax) {Ans: Intrathorax flow disorders: originate from obstruction of distal/smaller airways -asthma -bronchiolitis -vascular ring -solid foreign body aspiration -lymph node enlargement pressure -These types of disorders cause expiratory effort in infants and also in children less than 5 years of age (bronchiolitis) -Extrathorax flow disorders: originate from obstruction of the larger airways -rhinitis with nasal obstruction, nasal polyp -cranio-facial malformation -obstructive sleep apnea -tonsil-adenoid hypertrophy -laryngo-tracheo-malacia -larynx papilloma -Diphtheria -croup, epiglottitis -thymus hypertrophy -Infants or children ages 5 and younger are affected, and they have clinical findings of inspiratory stridor}contact