Tom is a 74-year-old male who presents today in clinic with…

Tom is a 74-year-old male who presents today in clinic with clear runny nose, sneezing, and itchy eyes.  He tells you his symptoms are worse when he and his wife Grace drive in their convertible Mustang with the top down as well as when he works in his garden.  His medical history includes benign prostatic hyperplasia, macular degeneration, and according to his wife, Tom wakes up in the middle of the night confused at times.  Tom is nontoxic appearing and the exam is normal.  What is the best treatment for this patient?

A 54-year-old patient, who is returning from an extended vac…

A 54-year-old patient, who is returning from an extended vacation, presents with severe acute bacterial sinusitis with no clinical improvement after two rounds of antibiotics in past month.  Initially he was treated with Amoxicillin, then with Doxycycline.  This is his third episode of sinusitis in 12 months.  The PMH includes uncontrolled diabetes with a recent A1C of 14 % . You should:

Pete is a 52-year-old local business owner who presents toda…

Pete is a 52-year-old local business owner who presents today with acute onset of not feeling well that began 2 days ago.  No significant previous medical history.  He received his initial series of COVID vaccinations, and the last flu shot.   “I haven’t kept up with all those COVID boosters, I think I missed one or two in there”.  He has been running 102.5-degree fever for the last 48 hours, has a terrible cough, headache, and chills.  He hasn’t been around anyone else that was sick, that he knows of at least.  Exam otherwise WNL.  Based on Pete’s presentation, your most likely differential diagnosis and treatment plan is:

Santiago is a 24-year-old who presents with complaints of le…

Santiago is a 24-year-old who presents with complaints of left ear pain that is worse with movement. He tells you friends just put in a new swimming pool and he has been swimming a lot.  You diagnose an otitis externa.  What would you advise him about this issue?  Please select all that apply.