In a 10 year old with a previous history of asthma you find…

In a 10 year old with a previous history of asthma you find the patient is using his albuterol inhaler 2 puffs 1-2 times per day to control his cough and wheezing.  He reports feeling a lot better after he uses his inaler.Based on the history, which of the following treatment plans would be the best at this time?

Gregory is a 12 month old and his mom brings him in today be…

Gregory is a 12 month old and his mom brings him in today because he has coughing fits and can’t catch his breath.  It is scaring her.  You review his chart and quickly notice he has not been in for a well child visit since his 2 month old checkup.  His mother denies going anywhere else for care.  Based on the chief complaint, you are concerned about Gregory’s incomplete vaccination with:

A 28-year-old primiparous woman who is 17-weeks gestation is…

A 28-year-old primiparous woman who is 17-weeks gestation is being seen today for a routine antepartum visit.  She is scheduled to have a maternal serum alpha fetoprotein (MSAFP) as part of a Quad Screen drawn at this visit.  She now states that she is not sure that she wants this test done because several of her friends had the test come back abnormal.  They worried the whole pregnancy that something was wrong with their babies.  In counseling her, you: