The NP is performing a routine physical exam on a 65-year ol…

The NP is performing a routine physical exam on a 65-year old male who is new to the practice. He reports that he recently became eligible for Medicare and has not seen a provider in over eight years due to not having any insurance. The patient denies any past medical history, but reports a family history of hypertension and CAD. BP today is 158/92. What would be the appropriate next step?

A recently divorced 59-year old female comes to the clinic w…

A recently divorced 59-year old female comes to the clinic with complaints of new onset diarrhea and alternating constipation over the past 3 months, occasional blood in the stool and unintentional weight loss of 10 pounds over the past six weeks. The patient’s BMI is 30, vital signs unremarkable. Her social history includes smoking 1/2 pack per day for the past 20 years, as well as one glass of wine per day and she works as a receptionist. The physical exam is unremarkable. What are the best choices for the top three differentials you are considering?