The NP is performing a routine physical exam on a 65-year ol…

The NP is performing a routine physical exam on a 65-year old male who is new to the practice. He reports that he recently became eligible for Medicare and has not seen a provider in over eight years due to not having any insurance. The patient denies any past medical history, but reports a family history of hypertension and CAD. BP today is 158/92. What would be the appropriate next step?

A recently divorced 59-year old female comes to the clinic w…

A recently divorced 59-year old female comes to the clinic with complaints of new onset diarrhea and alternating constipation over the past 3 months, occasional blood in the stool and unintentional weight loss of 10 pounds over the past six weeks. The patient’s BMI is 30, vital signs unremarkable. Her social history includes smoking 1/2 pack per day for the past 20 years, as well as one glass of wine per day and she works as a receptionist. The physical exam is unremarkable. What are the best choices for the top three differentials you are considering?

A 64-year old woman presents with a 3 month history of upper…

A 64-year old woman presents with a 3 month history of upper abdominal pain. She describes the discomfort as an intermittent, centrally located “burning” feeling that occurs most often with meals. She is using over the counter pepcid with some relief. She also admits to using diclofenac (Voltaren) on a regular basis to help control her osteoarthritis pain. Her clinical presentation is most consistent with?