Marge is a 34-year-old patient presenting with a 3-day history of sinus pain. She reports that she caught a cold a few days ago and is now blowing out yellow mucous. She complains of frontal sinus tenderness. Marge tells you, “This happens every fall. I catch a cold and then I get a sinus infection. My old doctor gave me a Z-pak and it took care of it for me. Can you write me a script?” Your best response would be:
Read DetailsEileen is a 73-year-old who presents with complaints of cough, SOB, wheezing and congestion for the last 2 days. She has had fever up to 101, denies nausea or vomiting. Reports has not had COVID-19 and has not had a COVID vaccine or flu vaccine. PMH: MI with stents 6 years ago, hypertension, hyperlipidemia, diabetes. Routine medications include metoprolol, lisinopril, metformin, rosuvastatin, vitamin C, D, zinc. Her son was diagnosed as having COVID the day after they were all together for the Thanksgiving holiday. What is your best plan of care for Eileen?
Read DetailsJohn is a 63-year-old who presents to clinic for follow up of his hypertension, diabetes, and dyslipidemia. As part of his physical exam, you note that he has brawny edema and hemoseidrin staining to his lower legs. His legs hurt after standing. Your top differential diagnosis is:
Read DetailsAnna is a 23-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 with white exudate, prominent anterior and posterior cervical nodes and mild bilateral upper abdominal tenderness without organomegaly. Your most likely diagnosis is:
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