Mr. Henry, a 61-year-old with a history of MI (at age 50) an…

Mr. Henry, a 61-year-old with a history of MI (at age 50) and hypertension is being seen for fatigue and decreased exercise tolerance. He complains of mild SOB and pain in his legs when walking even short distances.  Blood Pressures:  Right arm:   138/88                     Left arm: 142/86 Ankle: 90 systolic Based on the calculated ABI, the NP’s recommendation is:

Your 52-year-old female patient is being seen for a follow-u…

Your 52-year-old female patient is being seen for a follow-up on hypothyroidism and weight management. She was prescribed levothyroxine (Synthroid) 75mcg daily one year ago. Her last TSH result 3 months ago was 4.8. Today the patient’s TSH is 8.8 mU/L. What is the NP’s conclusion?

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?