A 3 month old born at 33 weeks gestation is brought to the urgent care you are working at after a witnessed brief resolved unexplained event (BRUE). Parents report that the event lasted approximately 45 seconds and the event resolved spontaneously without intervention. What do you recommend for management?

What are the mainstays of treatment for this condition? Select all that apply.  

What is your top differential diagnosis? 

What type of diarrhea does this patient most likely have?

The parent of this patient expresses concern since the patient has had this illness for 3 days and symptoms are the worst they have been today, day 3 of illness. What is the most appropriate response?

What is the recommended treatment for this child?  

A patient was recently discharged from the hospital after being treated for a Pulmonary Embolism. The patient was started on Apixaban in the hospital and discharged with a prescription for Apixaban as an outpatient. The patient presents to your clinic for a post-hospitalization follow up and reports that they filled the prescription for Apixaban from the hospital that was for a 2 weeks supply but it was really expensive because their insurance will not cover Apixaban. Their insurance will only cover Warfarin.  What do you do next?  

The parent of this patient expresses concern since the patient has had this illness for 3 days and symptoms are the worst they have been today, day 3 of illness. What is the most appropriate response?

What is a decision tool you could use to help guide decision making regarding diagnostic testing for this patient?    

A patient calls your office and reports they are having an acute asthma exacerbation based on their home peak expiratory flow rate (PEFR) being 70% of their normal, personal best. Their oxygen saturation is 97% and they are otherwise stable. What do you advise the patient to do?