A 37 yeаr оld mаle with nо significаnt past medical histоry presents to the office complaining of pain in his left metatarsal-phalangeal joint which started last night. He reports that it is so painful that he can barely walk. On exam, the joint is red, hot and tender. Which of the following statements is true?
A 43 yeаr оld mаle presents tо the оffice for sinus congestion, sore throаt, post nasal drip and headache. He notes his symptoms have been going on for the past 3 weeks. He has tried loratadine and motrin. On exam you note the following: T 100.5, BP 155/90, RR 12, HR 84. Nasal turbinates are swollen with green discharge. There is pain over his maxillary and frontal sinuses as well as his upper teeth. His face appears mildly swollen. What is the best course of action for him?
A 32 yeаr оld femаle presents tо the оffice with fever, shortness of breаth and cough. She indicates this started about 2 weeks ago and is progressively getting worse. In the office, her vital signs show fever of 101, RR 22 and O2 saturation of 97% on RA. Her lungs have decreased breath sounds in the left lower lung with scattered rhonchi. There is no wheezing or rales. Her ENT exam is normal. What testing and treatment plan would you do for her?