Select the cоrrect аnswer: A 64-yeаr-оld аdult with a 2-mоnth history of hypertension presents for a follow-up visit. The patient has a 5-year history of type 2 diabetes. The patient-provided home blood pressure log show systolic values of 116-128 mmHg and diastolic values of 68-78 mm/Hg. The patient confirms taking medications as prescribed but is bothered by recent-onset of a persistent cough that they "can't shake". Past medical history is positive for 5-year history of type 2 diabetes. The patient reports no allergies to medications. Current prescribed medications are: hydrochlorothiazide (Diuril) 12.5mg po daily quinapril (Accupril) 10 mg po daily metformin (Glucophage) 1000mg daily dulaglutide (Trulicity) 0.75 mg subcutaneously weekly atorvastatin (Lipitor) 20 mg daily Labs ( 1 week ago) chemistry-25 panel and lipid panel within normal limits; A1C 6.8%; urine albumin/creatinine ratio is consistent with microalbuminuria. Vitals: B/P 142/88, pulse 68 beats/min; respiration 14; weight 143 lb; height 60 inches; BMI 27.9 kg/m2. Physical exam is within normal limits. Which of the following interventions is priority to incorporate in this patient's management plan?
Select the cоrrect аnswer: A 72-yeаr-оld аdult presents tо a walk-in clinic with complaint of a gradual onset of abdominal pain for the past 24 hours. The pain suddenly intensified in the last 2 hours. The pain level is rated as an 8 of 10. The pain is primarily isolated on the left lower quadrant and is described as constant and achy. There is no association with food and the patient has never had symptoms like this before. The patient reports some nausea. The patient has a history of occasional constipation but did not notice an association of these symptoms with the start of these symptoms and denies a history or current symptoms of a urinary tract infection or kidney stones. Past medical history is positive for GERD. Past surgical history is positive for 2 Caesarean sections Vitals: B/P 148/60; Pulse 98 and regular; Resp 16; Temp 101.5. During examination, the primary care nurse practitioner notes that the patient's abdomen is extremely tender and rigid. Tenderness is isolated to the left lower quadrant. The examiner observes the patient guarding the abdomen. What diagnostic testing is indicated to differentiate the cause of these findings?