Your 79 year old patient, Betty, comes to the clinic complai…

Your 79 year old patient, Betty, comes to the clinic complaining of palpitations and irregular fast pulse on an intermittent basis for about a week, sometimes lasting for 30-40 minutes at a time. She feels short of breath when it occurs, but feels fine at the time of your visit this morning. You are most concerned your patient has which of the following diagnoses:

You are seeing Mr. Green, a 67 year old male, for the first…

You are seeing Mr. Green, a 67 year old male, for the first time. He has had Type 2 diabetes for the past 16 years.  Although he has been on insulin for 2 years, he does not maintain optimal control, as his A1C remains 8-9 most of the time.  You see on his chart was prescribed an ACE inhibitor 2 year ago, after being found to have microalbuminuria.  This was likely done as Mr. G is at risk for: