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A 67-year-old man with a history of type 2 diabetes and hypertension presents to his primary care physician for routine follow-up. His HbA1c is 8.4% on metformin 1000 mg twice daily. Blood pressure is 148/92 mmHg on lisinopril 20 mg daily. Serum creatinine is 1.1 mg/dL and urine albumin-to-creatinine ratio is 180 mg/g. Which of the following is the most appropriate addition to his current regimen?
A 45-year-old woman is brought to the emergency department after a motor vehicle collision. She is alert and oriented with a blood pressure of 88/60 mmHg, heart rate 124 bpm, and respiratory rate 22. Focused Assessment with Sonography in Trauma (FAST) examination is positive for free fluid in the left upper quadrant. After 2 liters of crystalloid, her blood pressure is 92/64 mmHg. Which of the following is the most appropriate next step in management?
A 72-year-old man is evaluated in the office 2 weeks after hospital discharge for community-acquired pneumonia. He completed a 5-day course of azithromycin and feels well. Review of his records reveals he is due for colorectal cancer screening (never screened), has not received the pneumococcal polysaccharide vaccine, and his last tetanus booster was 12 years ago. Which of the following is the most important preventive measure to address at this visit?
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