Jacque is a 31-year-old with a history of asthma for 6 years…

Jacque is a 31-year-old with a history of asthma for 6 years that is well controlled.  He is extremely concerned about catching COVID-19 with his history of asthma. He tells you, “I know I will die if I catch COVID. When I had bronchitis, I could barely breathe. I hear COVID is much worse.” According to the latest GINA guidelines, what should you tell Jacque? 

Betty is a 57-year-old diabetic that is new to your practice…

Betty is a 57-year-old diabetic that is new to your practice.  One of her concerns that she brings to you is that she has a “rash to my lower legs that won’t go away.”  On exam you see a brawny edema with hemoseidrin staining.  You also note that she has 2 mm of pretibial edema.  This is most indicative of:

Catherine is a 65-year-old patient here to see you for follo…

Catherine is a 65-year-old patient here to see you for follow-up labs two months after a new diagnosis of HFrEF. Her medications include sacubitril-valsartan, carvedilol, spironolactone, and dapagliflozin. Her current potassium is 6.0 mEq/L. What is your best intervention to keep Catherine healthy?

Dennis is a 28-year-old who has had asthma for 5 years. He t…

Dennis is a 28-year-old who has had asthma for 5 years. He tells you he had a “cold” last week and now feels really short of breath, especially with activity. He is unable to go to work.  He has a productive cough of thick white phlegm. Pulse ox is 96%. You auscultate expiratory wheezes in the upper and middle lobes. What treatment should you suggest?