Haley is a 31-year-old who presents with complaints of a cou…
Haley is a 31-year-old who presents with complaints of a cough for the last three days. Cough is productive of some clear, occasionally yellow tinged mucous. She denies fever, chills, nausea, vomiting or diarrhea. She has some nasal congestion, runny nose with clear mucous. No fever or chills. PMH: No chronic health conditions, No surgeries, no routine medications. VS show Temp 97.8, Resp 12, Pulse 64, Resp 12, Pulse ox 99%. Exam is unremarkable. What is your plan of care for Haley? Select all that apply.
Read DetailsTyler is a 28-year-old male who presents with complaints of…
Tyler is a 28-year-old male who presents with complaints of fever and cough for the last 10 days. PMH: No chronic issues. PSH: Femur fracture repair 10 years prior. Splenectomy 10 years prior. Non-smoker. Chest x-ray reveals a consolidation in the right middle lobe. What is your best treatment option?
Read DetailsSantiago is a 24-year-old who presents with complaints of le…
Santiago is a 24-year-old who presents with complaints of left ear pain that is worse with movement. He tells you friends just put in a new swimming pool and he has been swimming a lot. You diagnose an otitis externa. What would you advise him about this issue? Please select all that apply.
Read DetailsAkemi is a 34-year-old who presents with complaints of inter…
Akemi is a 34-year-old who presents with complaints of intermittent ear pain that seems to radiate down her jaw and sometimes is hearing a crinkling sound in her ear. She tells you that the pain typically lasts a few minutes at most and then will improve. She says “I feel like I need to pop my ears”. What is your plan of care? Select all that apply.
Read DetailsAnna is a 21-year-old who presents to your practice with a 4…
Anna is a 21-year-old who presents to your practice with a 48 hour history of a very sore throat with a fever as high as 102.3 degrees, fatigue, and myalgias. Her exam reveals a beefy red pharynx, 3+ tonsils with white exudate, prominent anterior and posterior cervical nodes and mild bilateral upper abdominal tenderness without organomegaly. Your most likely diagnosis is:
Read DetailsStacy is a 23-year-old female in clinic today. Presenting s…
Stacy is a 23-year-old female in clinic today. Presenting symptoms include congestion, facial pressure, nasal drainage that appears cloudy in nature, and a bad headache. She reports this started a few weeks ago and the symptoms got better for a few days, but now are worse than before. She is worried, as typically, her “normal” remedies are not working. Stacy does not have any known drug allergies. What is your best diagnosis for this patient and approach to her care?
Read DetailsYour 18-year-old patient complains of an extremely sore thro…
Your 18-year-old patient complains of an extremely sore throat and that it hurts to swallow. Her symptoms began 48 hours ago. She mentions that her roommate in the dorm is being treated for strep throat. She is on no medication, has no past medical issues, and has no allergies. Her rapid strep test is positive. Which antibiotic would be first-line treatment for this patient?
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