Don is a 74-year-old male, with past medical history of recu…

Don is a 74-year-old male, with past medical history of recurring bronchitis, chronic obstructive pulmonary disease, previously smoked 1 ppd X 60 years, type 2 diabetes, hypertension, and hyperlipidemia who presents today in clinic with symptoms of a common cold.  You know it’s a cold, your patient Don knows it is a cold, but he tells you he is going up north in less than 48 hours to golf with a bunch of his buddies and he is asking for an antibiotic, because he knows it will make him feel better for his big golf trip.  Select the best response.

A 59-year-old patient tells you she had an OTC COVID test th…

A 59-year-old patient tells you she had an OTC COVID test that was positive. She has been feeling unwell for 2 days with a cough, sore throat, and mild body aches.  She has not had any fever or chills.  She believes it is her usual autumn sinus infection she gets every year as she has been fully immunized for COVID and is extremely careful when in public about illness exposure. What is the best advice you can offer her?

Tyler is a 28-year-old male who presents with complaints of…

Tyler is a 28-year-old male who presents with complaints of fever and cough for the last 10 days.  PMH:  No chronic issues.  PSH:  Femur fracture repair 10 years prior.  Splenectomy 10 years prior.  Non-smoker.  Chest x-ray reveals a consolidation in the right middle lobe.  What is your best treatment option? 

A 22-year-old presents with fever for 24 hours, temp max 101…

A 22-year-old presents with fever for 24 hours, temp max 101.8 Fahrenheit.   She has recently returned from vacation in France. Patient is current with both COVID and influenza vaccinations. Medical history is significant for mild persistent asthma. Allergies: Pollen. VS:  T 101.0 Fahrenheit, Pulse 82, Resp 16, BP 110/70.  Other than her fever and that she does not appear to feel well, her exam is normal.  What is the best diagnostic approach for this patient?