Kevin is a 22-year-old college student who presents with a h…
Kevin is a 22-year-old college student who presents with a history of asthma. He is having episodes of respiratory congestion and prolonged wheezing occurring ~3 times per week. He does have an albuterol inhaler that gives him temporary relief. He is using the albuterol at least once daily and more frequently on the days he is having exacerbations. He reports an allergy to ragweed pollen that he has experienced since childhood. Using the most current GINA Guidelines, what is the best initial preferred treatment for Kevin?
Read DetailsMelissa is a 46-year-old administrative assistant you have d…
Melissa is a 46-year-old administrative assistant you have diagnosed with carpal tunnel syndrome to her left hand. She has failed conservative treatment with use of splinting, ergonomic changes to her work station, and use of ibuprofen 800 mg TID prn. You note she has the beginning development of thenar atrophy to her left thumb. What is your best plan of care?
Read DetailsMarge is a 34-year-old patient presenting with a 3-day histo…
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 coug…
Eileen 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 o…
John 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 Details