Mr. B, a 65 year old male diabetic patient of yours, comes t…

Mr. B, a 65 year old male diabetic patient of yours, comes to see you today for weak urinary stream, incomplete bladder emptying and difficulty postponing urination in the past 2 months.  He has had no fevers, hematuria or penile discharge.  Digital rectal exam reveals a firm, smooth, symmetrical enlarged prostate, about 3.5 x 5cm.  You are unable to differentiate the median sulcus.  No other abnormals on P.E.  He most likely has:

A 25 year old male is coming to you with shortness of breath…

A 25 year old male is coming to you with shortness of breath that has been persistent for some time.  He is trying to be more active, but this has been limiting him.  Past medical history includes having Hodgkin’s Lymphoma at age 15.  He was treated with chemotherapy that included bleomycin and also received radiation to the mediastinum.  Which of the following should you suspect?

You are seeing a 64 year woman for a new patient visit inclu…

You are seeing a 64 year woman for a new patient visit including well woman exam.  She had a total hysterectomy at age 49 due to fibroids.  She tells you that she has been having pap smears every 3 years. Which of the following would you recommend for her preventative care now?