MM is a 14-month old being seen for fever, increased irritab…

MM is a 14-month old being seen for fever, increased irritability, and congestion. MM’s mother reports her daughter has had a cold for ~5 days with profuse nasal discharge. When MM was put down last night, she was her usual self. However, she awoke 6-8 times throughout the night and was not comforted by the combination of ibuprofen and acetaminophen. This morning, the patient’s right eye was found to be red, itchy, with a thick purulent discharge. NKDA. T: 39.2˚C (102.6˚F); PMH: unremarkable. PE: clear nasal drainage; bilateral bulging and erythematous tympanic membranes, purulent conjunctivitis of the right eye.   Which of the following is the best recommendation?

EB is a 24-year-old male who presents to urgent care clinic…

EB is a 24-year-old male who presents to urgent care clinic with a chief complaint of severe dysuria. He states that he has had profuse, yellow discharge from his penis, which was confirmed on exam.  He says this began about 4-5 days since his last sexually encounter with a new partner. A discharge sample is sent for laboratory analysis, but still remains pending.  He has no known drug allergies. What is the most appropriate initial therapy for EB?

TZ is a 65 yo presenting with chief complaints of facial pai…

TZ is a 65 yo presenting with chief complaints of facial pain and nasal congestion with purulent discharge for 5-days duration. TZ reports a throbbing headache limiting her ability to get out of bed which has been unrelieved by around-the-clock acetaminophen/ibuprofen for the duration of the illness (5d) as well as a fever ranging from 38.9 to 39.8˚C (102 – 103.6 ˚F) since onset of symptoms. PMH: non-contributory.  Which of the following is the best empiric recommendation?

In a 1977 article in Science, a botanist reported the strang…

In a 1977 article in Science, a botanist reported the strange case of the Tambalacoque tree (Calvaria major) of the Mauritius Islands in the Indian Ocean. All of the trees appear to be hundreds of years old and date, as seedlings, to a time before the extinction of the dodo bird. The seeds of Calvaria are very hard and apparently needed to pass through the digestive tract of the dodo bird before they would germinate. Therefore, when there were no more dodo birds, no more young Calvaria trees germinated. Luckily, foresters can artificially scarify the seeds and germinate new trees now that they know this. The relationship between the dodo bird and the Tambalacoque tree is an example of