Roy is a 62-year-old who is in to see you for routine follow…
Roy is a 62-year-old who is in to see you for routine follow up on his hypertension, he is otherwise healthy. While in the office, he mentions he is going to be grandpa for the first time and he is over the moon. What immunizations would you recommend he receive prior to the birth of his first grandchild? Please select all that apply.
Read DetailsA 54-year-old patient, who is returning from an extended vac…
A 54-year-old patient, who is returning from an extended vacation, presents with severe acute bacterial sinusitis with no clinical improvement after two rounds of antibiotics in past month. Initially he was treated with Amoxicillin, then with Doxycycline. This is his third episode of sinusitis in 12 months. The PMH includes uncontrolled diabetes with a recent A1C of 14 % . You should:
Read DetailsA 59-year-old patient tells you she had an OTC COVID test th…
A 59-year-old patient tells you she had an OTC COVID test that was positive. She has been feeling unwell for 2 days with a cough, sore throat, and mild body aches. She has not had any fever or chills. She believes it is her usual autumn sinus infection she gets every year as she has been fully immunized for COVID and is extremely careful when in public about illness exposure. What is the best advice you can offer her?
Read DetailsMary is a 68-year-old retired ICU nurse who presents today i…
Mary is a 68-year-old retired ICU nurse who presents today in clinic after insisting to see “someone”. Her physician is out of town, and you are it! Mary’s past medical history includes asthma, COPD, recently diagnosed with hypertension, smokes 1 pack per day, is undergoing treatment for breast cancer with chemotherapy, and hyperlipidemia. Mary tells you she has a 12-day history of facial pain, nasal discharge, fever and a headache. Physical exam includes cobblestone posterior pharynx, and tenderness to percussion over maxillary sinuses; remainder of physical exam is normal. You diagnose her with acute bacterial rhinosinusitis. What is the best treatment option?
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