Dee is a 35-year-old who presents to clinic with complaints of sudden onset of severe body aches and fever as high as 104.5. She also has headache and just can’t believe how bad she feels. She has a non-productive cough and some nasal congestion. ROS is otherwise negative. Exam reveals an ill appearing woman with a temperature of 104.5. Other physical exam findings are normal. What do you suspect Dee has?
Read DetailsKevin 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 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 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:
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