Disheveled appearance, The adult-gerontology primary care

Disheveled appearance

Reference no: EM133729563

Question

The adult-gerontology primary care NP's physical exam on an adolescent is as follows: disheveled appearance, 5-lb weight loss since the last visit 2 months ago, pulse strong and regular at 128, + 4 deep tendon reflexes, nasal mucosa erythematous and ulcerated. His mother relates that he has been getting in trouble at school, avoids the adult-gerontology primary care, has no appetite, and is not sleeping much at night. The adult-gerontology primary care NP suspects drug use of: Heroin. Marijuana. LSD. Crack cocaine.

Reference no: EM133729563

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