A 56-year-old male presents to his primary care provider wit…

A 56-year-old male presents to his primary care provider with the complaint of daytime fatigue. He often has a headache that is worse in the morning and feels tired when he awakes. He perpetually feels fatigued, even when he sleeps in. The patient lives alone, drinks 2-3 beers daily, drinks coffee regularly, and has a 10 pack-year smoking history.  T 99.0°F, BP 180/110 mm Hg, HR 80/min, RR 13/min, and oxygen saturation is 98% on room air. Physical exam is notable for a BMI of 39 kg/m2. The rest of the patient’s pulmonary and neurological exams are unremarkable. Which of the following is the best next step in management?

A 12-month-old boy presented to clinic with his concerned pa…

A 12-month-old boy presented to clinic with his concerned parents about new deformity of his legs. They state now that he is standing up they have noticed his legs tend to bow and his knees do not touch when his legs are fully extended (see x-ray image below). Which of the following is most accurate regarding his condition?