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?