A 77 yo male patient  is seeing the NP in the office for ” d…

A 77 yo male patient  is seeing the NP in the office for ” dark stools”  for the past one month.   He denies abdominal pain.   PMH includes  Atrial  Fib,  HTN,  BPH.   Medications include  Lisinopril,  Flomax and rivaroxaban ( Xarelto) .  After obtaining a thorough HPI,  the NP is aware that the most important priority physical exam is to perform:  

A  35 yr old female patient is complaining of fatigue and we…

A  35 yr old female patient is complaining of fatigue and weakness.  She is a runner.    She is vegetarian.  Thyroid function is normal.  CBC reveals  the following:    What would the NP order next?  RBC=  4.0 Hemoglobin=  9.7  g/dl Hematocrit = 30.1 % MCV= 106  MCHC=  44