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11 contributions to Nikkie the NP’s Classroom
Question of the Day 10/20
🧠 NP students: What’s on your differential? A 27-year-old patient presents with difficulty concentrating, leaving tasks unfinished, and struggling with daily activities such as showering, preparing meals, and keeping up with household responsibilities. The patient states, “I know what I need to do, but I can’t seem to get started. Then at night, I can’t turn my brain off.” What differential diagnoses should you consider? Before jumping to a diagnosis, tell us: - What are your top three differentials, and why? - What additional questions would help you distinguish between them? - What would you want to know about symptom onset, sleep, mood, and substance or medication use? - Drop your clinical reasoning below. A symptom is a starting point, not a diagnosis!
1 like • 24d
ADHD, anxiety & depression would be my top three differentials.
Happy October!!! New Membership Options
Hey everyone! I’ve been asked to add some study groups, DNP project support, and personalized study aids. In response I have created two paid memberships that offer more personalized support! If you’d like you can upgrade your membership to access these benefits! Several have already signed up!! Drop any questions below!! Thank you all for supporting this amazing community 🥰
1 like • Oct 2
I cannot figure out how to upgrade. Can you point me in the right direction
Laboratory Interpretation
Hi everyone! I've been asked several times to host a live lab interpretation course. This would be a 6-week course that would be 60-90 minutes long once a week. The cost would be $50 for the 6-week course. Is this something the people in this group would also be interested in? I'm trying to see if I'm limiting the sessions to 15 people so there can be discussion. I'm trying to see if I need more than one session.
Poll
8 members have voted
0 likes • Oct 1
@Nikkie Miller is the subscription live yet?
1 like • Oct 2
@Nikkie Miller I don’t see where I can upgrade but would like to.
Question of the Day 9/9
A 72-year-old female presents to establish care as a new patient. The patient is on lisinopril, hydrochlorothiazide, metoprolol, and amlodipine. Her blood pressure in the office is 172/92. What are your next steps?
1 like • Sep 9
Are her meds at the max doses or did previous provider just keep adding a new med each time uncontrolled? Is she actually compliant with medication? Depending on my history and physical exam & medication depends my next step. Would encourage DASH diet, monitoring BP twice daily & follow up in office in 1 week. Also if establish care grabbing labs.
0 likes • Sep 11
@Nikkie Miller has she taken her medication today? Maybe she came in and forgot to take it!
Question of the Day Sat 9/5
Patient reports shortness of breath. What are some things to consider when differentiating between heart failure, pneumonia, COPD, PE, or asthma?
1 like • Sep 9
Physical exam & history is most important. Any recent sick contacts? History of asthma or COPD? What medications is he taking? Depending on my assessment depends on what I would be ordering!
1-10 of 11
Meg LeDure
2
6 points to level up
@meg-ledure-2413
FNP-S

Active 4d ago
Joined Aug 13, 2026