The NP is evaluating Mr. McNamara, a 73-year-old patient being followed by you for hypertension. His blood pressures over the preceding month included measures of 184/82, 178/82, 190/80, and 188/84. He was started on a thiazide diuretic three weeks ago, and today is being seen in follow-up. His blood pressures since beginning therapy are 176/90, 170/80, and today 160/80. According to guidelines, the next step for his treatment is to:

KB is a 48 yo male who presents to your clinic with shortness of breath, hemoptysis, a cough and wheezing which has been going on for 6 months.  He has a 20 pack year smoking history.  As his PCP, an important diagnostic test to include in your diagnostic work up would be:

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:

All of the following statements are true about allergies except:

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?

Explica la diferencia entre CHASQUIDO, CALAMBRES y ESPASMOS (en español)

Explica la diferencia entre “SENTIMIENTO” y “SENSACIÓN” en el contexto médico (en español)

De los siguientes tres síntomas, cuáles son sinónimos?

A 68-year-old woman with no known allergies is being seen for an acute episodic visit with complaints of dysuria, body aches, and intermittent sweats. On exam, the patient’s temperature is 99.8 degrees Fahrenheit after taking acetaminophen (Tylenol) before she left home to come to your office. Results from her urinalysis: protein: trace  blood: small nitrites: negative  leukocyte esterase: small What is the NP’s most appropriate next step?

What condition can mimic symptoms and often co-exist with myocardial infarctions in elders with coronary artery disease?