A sixty-nine-year-old woman presents with exertional chest pain, shortness of breath, and dizziness. Her hemoglobin is 6 grams per deciliter on a complete blood count (CBC). What is the most appropriate disposition from the primary care setting?

A sixty-five-year-old man who is receiving combination chemotherapy for lymphoma calls your clinic after hours. His last chemotherapy infusion was seven days ago. He reports shaking chills and an oral temperature of 101.5 degrees Fahrenheit. In urgent care, he appears tired but is alert; blood pressure is 110/68, heart rate is 102, and respiratory rate is 20. His complete blood count shows a very low absolute neutrophil count of 300 cells per microliter. What is the most appropriate next step in primary care?

A fifty-six-year-old woman is evaluated for anemia during a primary care visit. Her complete blood count (CBC) confirms low hemoglobin. Reticulocyte count is low. What does the low reticulocyte count primarily suggest about the cause of her anemia?

A sixty-seven-year-old man with well-controlled hypertension presents for an annual visit. Which immunizations should you confirm or offer today if he is not up to date?

A thirty-year-old woman presents for an urgent visit due to new bruising and bleeding from her gums when she brushes her teeth. She has scattered petechiae on her legs and several small oral blood blisters. She reports no recent trauma and takes no antiplatelet or anticoagulant medications. Vital signs are stable. Her complete blood count shows a platelet count of 8000 per microliter with normal hemoglobin and white blood cell count. What is the most appropriate action in primary care today?

A seventy-nine-year-old woman comes for an older adult annual visit. She lives independently and manages her own basic activities of daily living. You perform a focused examination and note the following: Blood pressure: 138/72 millimeters of mercury, pulse seventy-eight beats per minute, regular Lungs: clear to auscultation bilaterally Heart: soft grade II systolic murmur at the right upper sternal border without radiation, no diastolic murmurs Musculoskeletal: mild thoracic kyphosis and loss of two inches of height compared with her records from age fifty Neurologic: slightly decreased vibration sense in the toes but intact proprioception, strength, and gait; no focal deficits Which finding is most consistent with expected age-related change and does not require immediate diagnostic workup in an otherwise stable older adult?

A sixty-seven-year-old man with well-controlled hypertension presents for an annual visit. Which immunizations should you confirm or offer today if he is not up to date?

A fifty-six-year-old woman is evaluated for anemia during a primary care visit. Her complete blood count (CBC) confirms low hemoglobin. Reticulocyte count is low. What does the low reticulocyte count primarily suggest about the cause of her anemia?

A sixty-nine-year-old woman presents with exertional chest pain, shortness of breath, and dizziness. Her hemoglobin is 6 grams per deciliter on a complete blood count (CBC). What is the most appropriate disposition from the primary care setting?

An eighty-two-year-old woman has lost 8 % of her body weight over six months without trying. She reports decreased appetite and difficulty preparing meals, and lives alone. What is the most appropriate next step?