A.R., age 59, is a postmenopausal woman, who presents to you…

A.R., age 59, is a postmenopausal woman, who presents to your office complaining of vaginal dryness. She has been sexually active with a new partner and says penetration is very painful. She has tried OTC lubricants but has not found one that works. PMH: controlled hypertension. After examination and wet prep, you diagnose her with atrophic vaginitis. Which of the following is true about best practice treatment options?

A 66-year-old male arrives at the office today without an ap…

A 66-year-old male arrives at the office today without an appointment. He appears quite anxious and pale and is complaining of an aching pain across his sternum that radiates to his L jaw and down the L arm at times.  It started about an hour ago and awakened him from sleep. He took an anti-acid and acetaminophen, but they did not seem to help. His blood pressure is 160/90, and HR is 98.  What is your priority differential diagnosis?