The Audio PANCE and PANRE Physician Assistant Board Review Podcast

Listen to Podcast Episode 109: Ten PANCE, PANRE, and Rotation Review Questions If you can't see the audio player, click here to listen to the full episode. Welcome to episode 109 of the Audio PANCE and PANRE Physician Assistant/Associate (PA) Board Review Podcast. Join me today as we cover ten board review questions for your PANCE, PANRE, EOR, and EOC exams. Resources and links from today's episode: * View my PANRE-LA Performance Score and see my process for taking PANRE-LA Questions * Learn all about the new Smarty PANCE QBank * Sign up for our PANCE and PANRE Test-taking Masterclass * Sign up for the Entire Blueprint Email Series * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram and Facebook * Join the Smarty PANCE Member's Community, then sign up for a study group to get updates about upcoming webinars I hope you enjoy this free audio component of the examination portion of this site. Smarty PANCE includes over 2,000 interactive board review questions, along with flashcards, ReelDx cases, integrated Picmonics, and lessons covering every blueprint topic available to all Smarty PANCE members. * You can download and listen to past FREE episodes here, on iTunes, Spotify, Amazon Music, and all podcasting apps. * On each episode page, you can listen to all the latest episodes, take interactive quizzes, and download more resources. Interactive Exam to Complement Today's Podcast 1. A 70-year-old man presents for evaluation of poorly controlled hypertension despite adherence to five different classes of antihypertensive medications. His medical history includes coronary artery disease with a myocardial infarction 3 years ago, peripheral artery disease, and type 2 diabetes mellitus. He reports no changes in his medication regimen and denies any recent lifestyle modifications. Physical examination reveals a blood pressure of 190/110 mm Hg in the left arm and 180/100 mm Hg in the right arm. His BMI is 24 kg/m². On auscultation, there is no abnormal heart sound. Which of the following additional findings is most likely to be seen in this patient? A. Elevated serum aldosterone-to-renin ratio B. Continuous murmur over the carotid arteries C. Diminished femoral pulses D. Continuous bruit in the lateral periumbilical area E.

Listen to Podcast Episode 107: This vs. That - PANCE Blueprint Comparisons You Need to Know (Episode 1) In today's session, we will be discussing five questions related to PANCE/PANRE Blueprint topics. These questions will cover similar presentations and crucial comparisons that are important for you to know. These topics are often used by PANCE/PANRE test question writers, so it's essential to learn how to differentiate between them. This is the first part (episode 1) of a series. If you can't see the audio player, click here to listen to the full episode. Links from today's episode: * Sign up for our new PANCE and PANRE Test-Taking Masterclass. * Check out my first blog in our "This vs. That" Blueprint series: The PANCE Blueprint Showdown: Crohn's Disease vs. Ulcerative Colitis. * Want a question of the day that covers the Blueprint - ALL of it? Sign up for the Entire Blueprint Email Series. * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram and Facebook for more daily questions. * Join the Smarty PANCE Member's Community, then sign up for a study group to get updates about upcoming webinars. I hope you enjoy this free audio component of the examination portion of this site. Smarty PANCE includes over 2,000 interactive board review questions, along with flashcards, ReelDx cases, integrated Picmonics, and lessons covering every blueprint topic available to all Smarty PANCE members. * You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, Amazon Music, and all podcasting apps. * You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page. Interactive exam to complement today's podcast 1. A 32-year-old woman presents with a 6-month history of loose bowel movements, approximately eight per day. Blood has been present in many of them. She has lost 30 pounds. For the past 6 weeks, she has had intermittent fever. She has had no previous gastrointestinal (GI) problems, and there is no family history of GI problems. On examination,

Listen to Podcast Episode 105: Ten PANCE, PANRE, and Rotation Review Questions If you can't see the audio player, click here to listen to the full episode. Welcome to episode 105 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Join me today as we cover ten board review questions for your PANCE, PANRE, EOR, and EOC exams. Links from today's episode: * Sign up for the Entire Blueprint Email Series * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram * Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook * Review systemic lupus erythematosus (SLE) * Review the diabetes diagnostic guidelines * Review gestational diabetes screening guidelines * Review basal cell carcinoma and our comparison tables of the Blueprint dermatologic neoplasms * Join the Smarty PANCE Member's Community, then sign up for a study group to get updates about upcoming webinars. I hope you enjoy this free audio component of the examination portion of this site. Smarty PANCE includes over 2,000 interactive board review questions, along with flashcards, ReelDx cases, integrated Picmonics, and lessons covering every blueprint topic available to all Smarty PANCE members. * You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, Amazon Music, and all podcasting apps * You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page. Interactive exam to complement today's podcast 1. A 68-year-old male farmer presents with a flesh-colored papule with a rolled border located on the right side of his forehead. As you examine the lesion closely, you notice something else about the lesion. Which of the following physical exam findings would make you more suspicious of malignancy? A. Telangiectasia B. Nikolsky sign C.

Listen to Podcast Episode 103: Ten PANRE & PANRE-LA Intervention Complex Practice Question If you can't see the audio player, click here to listen to the full episode. Welcome to episode 103 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Join me today as we cover ten NCCPA-style board review questions for your PANRE and PANRE-LA exams. Special from today's episode: * Take the new PANRE & PANRE-LA (Intervention Complex) Practice Exam: Covers all the topics tested within the new PANRE (Intervention Complex) performance expectation with links to Smarty PANCE lessons. * PANRE & PANRE-LA Blueprint 8-Week Schedule and Study Planner * Read The New 2023 PANRE and PANRE-LA: Everything you Need to Know * Members can try out the newly updated PANRE-LA Smart Search Tool (you must log in to access the search bar) * Sign up for the Entire Blueprint Email Series to get daily questions for the next 478 days! * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram * Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook * Join the Smarty PANCE Member's Community, then sign up for a study group to get updates about upcoming webinars I hope you enjoy this free audio component of the examination portion of this site. Smarty PANCE includes over 2,000 interactive board review questions, along with flashcards, ReelDx cases, integrated Picmonics, and lessons covering every blueprint topic available to all Smarty PANCE members. * You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, and most podcasting apps. * You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page. Here is an interactive exam to complement today's podcast 1. A 65-year-old man presents to your office with complaints of constipation for the past six months. He says that he has difficulty passing stools, which are hard and dry. He also reports occasional abdominal pain and bloating. He denies any weight loss, blood in stools, fever, or night sweats. His medical history is significant for hypertension and ...

Welcome to episode 101 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Join me today as we cover ten board review questions for your PANCE, PANRE, and rotation exams. Special from today's episode: * Join the Smarty PANCE Member's Community then sign up for a study group to get updates about upcoming webinars. * Check out our updated End of Curriculum (EOC) Exam Course * Sign up for the Entire Blueprint Email Series * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram * Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook I hope you enjoy this free audio component of the examination portion of the Smarty PANCE website. The full board review website includes over 2,000 interactive board review questions, flashcards, and blueprint lessons available to all members of Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, and most podcasting apps. * You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page. Listen to Podcast Episode 101: Ten PANCE, PANRE, and Rotation Review Questions If you can't see the audio player, click here to listen to the full episode. Interactive exam to complement today's podcast 1. A 75-year-female smoker with a history of atrial fibrillation and hypertension presents to the ER complaining of a 2-hour history of right-sided weakness and aphasia that has now resolved. Her physical exam and vital signs are completely unremarkable. CT head is unremarkable. Which of the following is the most likely diagnosis? A. Subarachnoid hemorrhage B. Transient ischemic attack C. Cerebral venous sinus thrombosis D. Multiple sclerosis E. Complicated migraine Answer and topic summary The answer is B. Transient ischemic attack The patient had a transient ischemic attack (TIA), which is characterized by transient neurological symptoms without objective evidence of acute infarction. Symptoms vary, but patients may have hemiparesis, hemiplegia, aphasia, or vision loss. Risk factors include alcohol, hypertension, smoking, diabetes, illicit drug use, and atrial fibrillation. Urgent evaluation is needed in patients with symptoms of TIA (e.g., coagulation studies, TTE, EKG, CT or MRI head, imaging of the cervicocephalic vasculature via carotid US, CTA, or MRA).

Welcome to episode 99 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Join me as I cover ten PANCE, PANRE, and EOR review questions from the Smarty PANCE Instagram/Facebook page and the smartypance.com board review website. Special from today's episode: * Join the Smarty PANCE Member's Community * Check out our all-new End of Curriculum (EOC) Exam Course (still in development) * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram * Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook Below you will find an interactive exam to complement today's podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, and most podcasting apps. * You can listen to the latest episode, take an interactive quiz, and download more resources below. Listen Carefully Then Take the Practice Exam If you can't see the audio player, click here to listen to the full episode. Podcast Episode 99: Ten PANCE/PANRE and EOR Topic Blueprint Questions 1. A 42-year-old male on lithium presents with polyuria, nocturia, and polydipsia. Laboratory findings are remarkable for slightly elevated sodium. Which of the following is the most likely diagnosis? A. Neurogenic diabetes insipidus B. Nephrogenic diabetes insipidus C. Type 2 diabetes mellitus D. SIADH E. Adrenal insufficiency Click here to see the answer The answer is B. Nephrogenic diabetes insipidus Nephrogenic diabetes insipidus (DI) is a condition where the kidneys are resistant to the effects of ADH. Nephrogenic DI can occur secondary to lithium toxicity or chronic lithium use, pregnancy, inherited disorders, and electrolyte issues. Clinical features include polyuria, nocturia, and polydipsia. Serum sodium is either normal or high. In this patient, lithium has entered the collecting duct, accumulated, and interfered with ADH’s capacity to increase water permeability. Treatment options for this patient include amiloride or thiazide diuretics. In general, whether or not lithium is discontinued depends on many factors. <a class="dt-sc-button small filled" href="https://smartypance.

Welcome to episode 97 of the Audio PANCE and PANRE PA board review podcast. Today is a bonus episode rounding out this fabulous five-part podcast series with Joe Gilboy PA-C, all about cardiac murmurs. In this week's episode, we continue our discussion of cardiac murmurs with ten PANCE and PANRE murmur questions. We'll cover the ins and outs of all the NCCPA content blueprint valvular disorders and learn how to identify and differentiate them from one another. If you haven't already, make sure to listen to our previous podcast episodes where we covered tricuspid stenosis, aortic valve murmurs, mitral valve murmurs, pulmonic valve murmurs, and HOCM and MVP. Podcast Episode 97: Murmurs Made Incredibly Easy - 10 PANCE and PANRE Murmur Questions Below is a transcription of this podcast episode edited for clarity. * You can download and listen to past&nbsp;FREE episodes here,&nbsp;on&nbsp;iTunes, Spotify, Google Podcasts, Stitcher, Amazon Music, and most podcasting apps.* You can listen to this latest episode and access even more resources below. [00:00:00] Welcome back, everybody. This is Joe Gilboy. I work with Stephen Pasquini over there at Smarty PANCE. And today is the most dreaded podcast of all because you know what I'm going to do. That's right. I'm going to ask cardiac murmur questions. And I know it's the most dreaded thing in the world. Let's do this together because what I want to try to do here is make sense of it all. So, let's just kind of recap some basic rules before we start going down this thing. You know, the previous lectures, what have I been barking about? What's Joe been saying? First - inspiration, right? Expiration left. [00:00:40] Inspiration, right? Expiration left. So, with inspiration, the right-sided murmurs sound louder. So that's the tricuspid and the pulmonic valve regardless of if it's stenosis or regurgitation. Expiration - left. What am I saying? Everything on the left side sounds louder with expiration,

Welcome to episode 95 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Join me as I cover ten PANCE, PANRE and EOR review questions from the Smarty PANCE Instagram/Facebook page and the smartypance.com board review website. Special from today's episode: * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram* Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook Below you will find an interactive exam to complement today's podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of Smarty PANCE. * You can download and listen to past&nbsp;FREE episodes here,&nbsp;on&nbsp;iTunes, Spotify, on Google Podcasts, Stitcher, and most podcasting apps.* You can listen to the latest episode, take an interactive quiz, and download more resources below. Listen Carefully Then Take the Practice Exam If you can't see the audio player, click here to listen to the full episode. Podcast Episode 95: Ten PANCE/PANRE and EOR Topic Blueprint Questions 1. A 52-year-old patient is admitted with a lower gastrointestinal bleed. He is given 2 units of packed red blood cells. A few hours later the patient develops a fever but has no other symptoms or changes in vital signs. Lab studies reveal no significant changes. Which of the following is the most likely diagnosis? A. Transfusion-associated circulatory overloadB. Acute immune-mediated hemolytic reactionC. Transfusion-related acute lung injuryD. Febrile non-hemolytic transfusion reactionE. None of the above Click here to see the answer The answer is D. Febrile non-hemolytic transfusion reaction The most common transfusion reaction is a febrile non-hemolytic transfusion reaction (FNHTR). Patients with FNHTR may present with a fever a few hours after receiving packed red blood cells (PRBCs), which is caused by the small number of white blood cells and cytokines that can be found in each unit of PRBCs. Treatment consists of giving acetaminophen and ruling out other causes of fever (e.g., central line infection, urinary tract infection, etc). Incorrect Answers: Transfusion-associated circulatory overload (Choice A) occurs when the volume of the transfused component causes hypervolemia.

Welcome to episode 93 of the Audio PANCE and PANRE physician assistant/associate board review podcast. Today is part three of this extraordinary five-part series with Joe Gilboy PA-C, all about cardiac murmurs. In this week's episode of the Audio PANCE and PANRE podcast, we continue our discussion of cardiac murmurs with a focus on the pulmonic valve. We'll talk about the different types of murmurs (stenosis and regurgitation) that can occur with the pulmonic valve and how to differentiate them from other types of murmurs. If you haven't already, make sure to listen to our previous podcast episode where we covered the aortic valve murmurs and mitral valve murmurs. The Pulmonic Valve Pulmonic valve stenosis (PVS) and pulmonic valve regurgitation (PVR) are two common heart valve diseases. PVS is a narrowing of the pulmonic valve, while PVR is leakage of blood back through the pulmonic valve. Both conditions can lead to significant heart problems if left untreated. Pulmonic valve stenosis PVS is the most common congenital heart disease, affecting approximately 1 in 1000 people. It can lead to right heart failure and/or pulmonary hypertension (high blood pressure in the lung arteries). PVS is caused by an abnormally thickened pulmonic valve or localized stenosis which means that it has a narrowing of the valve. Pulmonic valve stenosis has several different causes including: * Congenital heart disease – this means that the abnormal valve was present from birth but is often undiagnosed until adulthood. For example, children with Down's syndrome or Noonan syndrome are more likely to have an undiagnosed congenital heart defect such as PVS. It commonly is a component of tetralogy of Fallot.* Cocaine use in pregnancy – research has shown that there is a link between the use of cocaine in pregnant women and children with PVS, particularly if it is used close to the time of conception or later stages of pregnancy.* Infection during pregnancy can cause an inflammatory response which may lead to heart problems for the baby.* Autoimmune disease – PVS is sometimes associated with other autoimmune diseases, such as lupus. Symptoms of PVS can vary depending on the type of stenosis that is present and how much it has advanced. Mild cases may not cause any symptoms at all; however, it is common for patients to experience breathlessness, fatigue, chest pain, and palpitations. Heart sounds include increased splitting of S2 and a harsh crescendo-decrescendo ejection murmur heard best at the left parasternal 2nd or 4th intercostal space when the patient leans forward; the murmur grows louder immediately with Valsalva release and with inspiration. People with PVS may need to take some medication to ease their symptoms. For example, diuretics can help remove excess fluid; beta-blockers reduce the workload on the heart and therefore lower blood pressure and heart rate, and long-acting calcium channel blockers can reduce the force of contraction of the heart's left ventricle.

Welcome to episode 91 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Today is part one of an extraordinary five-part series with Joe Gilboy PA-C, all about cardiac murmurs. It's time to throw away everything you have ever learned that made you hate cardiac murmurs (you know those crazy line diagrams) and let Joe hard-wire your brain for success. I promise you that by the end of this podcast, you will no longer be afraid of murmurs, but you will welcome them into your brain with a whole heart, open arms, and the need to share this podcast with all your classmates. Below is a transcription of this podcast episode slightly edited for clarity. * You can download and listen to past&nbsp;FREE episodes here,&nbsp;on&nbsp;iTunes, Spotify, on Google Podcasts, Stitcher, Amazon Music, and most podcasting apps.* You can listen to the latest episode and access even more resources below. Welcome, everybody. This is Joe Gilboy PA-C, and today is part one of a five-part series on the two most dreaded words that every pa student and recert PA hates. Are you ready for the two words? Heart murmurs! Today we're going to start talking about heart murmurs, and we are going to break this down into a five-part series: * The first part is going to be on the aortic valve (today’s episode)* The second part will cover the mitral valve* The third will be all about the pulmonic valve* The fourth part will be about the tricuspid valve* And then, in the fifth part of this series, we're going to wrap this all together We're going to cover each valve one at a time. We will look at it and try to really make sense of it all. Because I know what you did in PA school, you had that little diagram that you made, you know, systolic or diastolic murmurs. You've memorized certain things. And then you get to that test question, and you're completely clueless on it, you're like, “I have no idea what they just said, Joe, I have no idea.” And then you're back to scrambling, looking for some word that's going to trigger you. And that's the key point- all the trigger words, all those high-value trigger words, they're gone. That's what the creators of the PANCE did about two to three years ago. They took all the trigger words out. Key point: * Don’t rely on keywords (trigger words) for your PANCE because they’re gone! So now, let's look at this differently. You did it your way. How did it work out? Probably not so well. So, guess what,

Welcome to episode 89 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE, PANRE and EOR review questions from the Smarty PANCE Instagram/Facebook page and the smartypance.com board review website. Special from today's episode: * Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram* Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook Below you will find an interactive exam to complement today's podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of Smarty PANCE. * You can download and listen to past&nbsp;FREE episodes here,&nbsp;on&nbsp;iTunes, Spotify, on Google Podcasts, Stitcher, and most podcasting apps.* You can listen to the latest episode, take an interactive quiz, and download more resources below. Listen Carefully Then Take the Practice Exam If you can't see the audio player, click here to listen to the full episode. Podcast Episode 89: Ten PANCE/PANRE and EOR Blueprint Questions 1. The definition of amblyopia is . . . A. Congenital cataracts noted at birth B. Retinal detachment seen in premature children C. Irregular pupillary size D. Increased distance between the medial and lateral canthus E. Subnormal visual acuity in one or both eyes despite correction of refractive error Click here to see the answer Answer: E. Subnormal visual acuity in one or both eyes despite correction of refractive error Amblyopia, also called lazy eye, is a disorder of sight in which the brain fails to process inputs from one eye and over time favors the other eye. It results in decreased vision in an eye that otherwise typically appears normal * Amblyopia is not correctable by refractive means* Amblyopia occurs in early childhood when nerve pathways between the brain and an eye aren&#8217;t properly stimulated* It may be caused by <a href="https://smartypance.com/lessons/eye-disorders/vision-abnormalities/strab...

Welcome to episode 87 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten internal medicine rotation EOR content blueprint questions from the Smarty PANCE physician assistant board and rotation review website. Special from today's episode: * Check out the updated Smarty PANCE Internal Medicine Rotation (EOR) Review Course* Download your Free Trello Smarty PANCE PAEA Internal Medicine EOR Tracking Template* Members can take the all-new Internal Medicine Rotation Practice Exam* View the interactive Smarty PANCE Internal Medicine Rotation (EOR) Topic List Below you will find an interactive exam to complement the podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of Smarty PANCE. * You can download and listen to past&nbsp;FREE episodes here,&nbsp;on&nbsp;iTunes, Spotify, on Google Play Music&nbsp;or&nbsp;Stitcher.* You can listen to the latest episode, take an interactive quiz, and download more resources below. Listen Carefully Then Take The Practice Exam If you can't see the audio player click here to listen to the full episode. Podcast Episode 87: Ten Internal Medicine EOR Pulmonology Questions The following questions are linked to PAEA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member, you will be able to login and view this interactive video lesson. 1. A 67-year-old man with a long history of constipation presents with steady left lower quadrant pain. Physical exam reveals low-grade fever, mid abdominal distention, and lower left quadrant tenderness.

Welcome to episode 85 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA content blueprint (download the FREE cheat sheet). Special from today's episode: * Download your copy of the Free Trello Smarty PANCE NCCPA Blueprint Study Plan * Make the Audio PANCE and PANRE an Alexa Skill This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprints. Below you will find an interactive exam to complement the podcast. Below you will find an interactive exam to complement the podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz, and download more resources below. Listen Carefully Then Take The Practice Exam If you can't see the audio player click here to listen to the full episode. Podcast Episode 85: Ten MIXED PANCE and PANRE Board Review Questions The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member, you will be able to log in and view this interactive video lesson. 1. A 14-hour-old boy has failed to pass stool and is vomiting greenish fluid. He was born at 40 weeks gestation with no complications during delivery or pregnancy. His temperature is 97.6°F (36.4°C), blood pressure is 64/34 mmHg, pulse is 140/min, respirations are 33/min, and oxygen saturation is 98% on room air. The child is currently breastfeeding and appears irritable.