**Jonathen who is a type 2 diabetic returns for his 3 month…

**Jonathen who is a type 2 diabetic returns for his 3 month f/u.   You ordered labs prior to his appointment.  His urine albumin is 150 which indicates albuminuria. His last urine albumin which was 3 months ago was 95.  What concerns you about his lab findings and what do you want to do?

*A 68 year old female presents complaining of near-syncope t…

*A 68 year old female presents complaining of near-syncope this week with exercise. Upon further questioning, she is also experiencing some shortness of air with exercise. Auscultation of her heart reveals a harsh crescendo-decrescedo systolic ejection murmur, loudest at the right sternal edge. You are now concerned she has the following: