A 28 year old female with a history of hypothyroidism, and w…

A 28 year old female with a history of hypothyroidism, and who is a probation officer, presents to the office with a one month history of “shaking in my hands”.  She tells the NP she is concerned because she carries a weapon and is worried her target skills will be affected. She also relates her brother “has the shakes too” but he never went to see a health care provider. The most likely diagnosis is:

Mrs. L, a 74-year old patient presents for her 6 month check…

Mrs. L, a 74-year old patient presents for her 6 month check up for controlled hypertension, hypercholesterolemia, and mild chronic depression.  She mentions she has had fleeting episodes of vision loss in her right eye and has been getting right temporal-parietal headaches and sharp pain when chewing.  On exam, the NP finds a tender, firm right temporal artery.  The most appropriate order to confirm the likely diagnosis is: