A patient is seen in clinic for an asthma exacerbation. The…

A patient is seen in clinic for an asthma exacerbation. The provider administers three nebulizer treatments with little improvement, noting a pulse oximetry reading of 90% with 2 L of oxygen. A peak flow assessment is 70%. What is the next step in treating this patient?

Bob is a 38-year-old male who presents to the clinic with a…

Bob is a 38-year-old male who presents to the clinic with a low-grade temperature of 99.8 degrees x 3 days, cough x 2 weeks, fatigue, headache and chest congestion.  He denies any hemoptysis or chest pain.  What is the most likely diagnosis based from this information only?